Individual provider · NPI-1

Dr. Jeffrey Bazarian II, M.D.

Physical Medicine & Rehabilitation · Rochester, NY

NPI number1063430239

StatusActive

Last updated in NPPESJul 3, 2023

Details

NPI: 1063430239
Entity type: Individual (NPI-1)
Name: Dr. Jeffrey Bazarian II
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jul 17, 2006
Last updated: Jul 3, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208100000X	Physical Medicine & Rehabilitation	176211	NY	Yes
207P00000X	Emergency Medicine	176211	NY
207R00000X	Internal Medicine	176211	NY

Practice location

4901 Lac De Ville Blvd
Suite 250
Rochester, NY 14618-5647

Phone 585-275-3271 · Fax 585-442-2949

Mailing address

601 Elmwood Ave
Box 655c
Rochester, NY 14642-0001

Phone 585-341-3015

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