Dr. Jeffrey Bazarian II
Internist Emergency Physician Physical Medicine & Rehabilitation Doctor
4901 Lac De Ville Blvd Suite 250
Rochester
, New York 14618-5647
Dr. Jeffrey Bazarian II
Internist Emergency Physician Physical Medicine & Rehabilitation Doctor
4901 Lac De Ville Blvd Suite 250
Rochester
, New York 14618-5647
(585) 341-3015
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About
Features
Specialties
- Emergency Physician
- Internist
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Bazarian II
- 601 Elmwood Ave Box 655c
- Rochester, NY
- Zip : 14642-0001
- Phone : (585) 341-3015
Second Address
- Dr. Jeffrey Bazarian II
- 4901 Lac De Ville Blvd Suite 250
- Rochester, NY
- Zip : 14618-5647
- Fax : (585) 442-2949
- Phone : (585) 275-3271
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 176211 | NY |
| N | 207R00000X | Internist | 176211 | NY |
| N | 111NI0900X | Internist | 176211 | NY |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 176211 | NY |
National Provider Identifier
| NPI | 1063430239 |
|---|---|
| Provider Name | Dr. Jeffrey Bazarian II |
| First Address | Rochester, NY 14642-0001 |
| Second Address | Rochester, NY 14618-5647 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 26/03/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01720850 | (05) | NY |
| G28338 | (02) | 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.