Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 001026 | NY |
NPI | 1073580783 |
---|---|
Provider Name | Dr. Muhammad S Idrees |
First Address | Batavia, NY 14020-2146 |
Second Address | Batavia, NY 14020-2146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 02/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00525878003 | BC OF WNY (01) | NY |
02047423 | (05) | NY |
103440DL | PREFERRED CARE (01) | NY |
1210879 | INDEPENDENT HEALTH (01) | NY |
P010001026 | BLUE CHOICE OF ROCHESTER (01) | NY |
P03001026 | BLUE CROSS OF ROCHESTER (01) | NY |