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 & Clinical 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:
Health care specialties
| Specialty | Code | License # | 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 | Feb 19th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952348575 | NPPES |
| New York | MEDICAID | 03225023 |
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