Azabdaftari, Gissou

Azabdaftari, Gissou is an individual health care provider with primary practice located at 8 Sable Ct W , East Amherst NY 14051-2210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Azabdaftari, Gissou can be contacted via phone (716) 845-2300.

Contact Information

Primary practice address
8 Sable Ct W East Amherst NY 14051-2210
Phone: (716) 845-2300
Fax: (716) 845-3427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 256980 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 256980 New York

Profile Details

NPI number 1952348575
LBN Legal business name Azabdaftari, Gissou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Nov 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952348575 NPPES
New York MEDICAID 03225023

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