Amin Fazeli
Dermatologist MOHS-Micrographic Surgeon
4110 Medical Center Dr Suite 110
Fayetteville
, New York 13066-6613
Amin Fazeli
Dermatologist MOHS-Micrographic Surgeon
4110 Medical Center Dr Suite 110
Fayetteville
, New York 13066-6613
(315) 663-0052
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Amin Fazeli
- 4110 Medical Center Dr Dermatology Associates Of Cny Pllc
- Fayetteville, NY
- Zip : 13066-6613
- Fax : (315) 663-0052
- Phone : (315) 663-0100
Second Address
- Amin Fazeli
- 4110 Medical Center Dr Suite 110
- Fayetteville, NY
- Zip : 13066-6613
- Fax : (585) 663-0052
- Phone : (315) 663-0100
Reviews
FAQs
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Where is Amin Fazeli ’s practice located?
What is Amin Fazeli ’s gender?
Is Amin Fazeli a sole practitioner?
Is Amin Fazeli accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 236051 | NY |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 236051 | NY |
National Provider Identifier
| NPI | 1215991005 |
|---|---|
| Provider Name | Amin Fazeli |
| First Address | Fayetteville, NY 13066-6613 |
| Second Address | Fayetteville, NY 13066-6613 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2006 |
| Last Update Date | 26/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I40590 | (02) | |
| RA7948 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.