Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMIN FAZELI, MD
ActiveAMIN FAZELI, MD is a Dermatology healthcare provider located in FAYETTEVILLE, New York. NPI 1215991005 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FAYETTEVILLE, NY
Registration Details
- NPI Number
- 1215991005
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2006 (20.373403428083 yrs)
- Last Updated
- Jan 26, 2017
- Licenses
-
236051 (NY)236051 (NY)
Practice Information
- Address
-
4110 MEDICAL CENTER DRSUITE 110FAYETTEVILLE, NY, 130666613Browse NY providers · Browse ZIP 13066
- Phone
- 3156630100
- Fax
- 5856630052
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Obesity Medicine
Other Dermatology Providers in FAYETTEVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| DR. DOUGLAS WALSH | MD | 1306860119 |
| DR. JAMES PREZZANO | M.D. | 1538554753 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.