National Provider Identifier

Mohammadreza Feizi Lighvan, NP

Mohammadreza Feizi Lighvan, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-5645.

NPI 1699392894Rochester, NYNurse Practitioner

Profile Overview

NPI
1699392894
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
July 03, 2020
Last Updated
April 16, 2021

Practice Location

  • Strong Memorial Hospital 601 Elmwood Avenue
  • Rochester, NY 14642-0001

Phone: (585) 275-5645

Mailing Address

  • 601 Elmwood Avenue PO Box 670
  • Rochester, NY 14642-0001

Specialties

  • Nurse Practitioner (363L00000X)
  • Acute Care Nurse Practitioner (363LA2100X)
  • Neurological Surgery Physician (207T00000X)

Endpoints

  • Albany

    Connect Url | Direct | Csv | Rochester, NY 14642

    601 Elmwood Ave, Rochester,

Full Record
NPI
1699392894
Entity Type
Individual
Last Name
Feizi Lighvan
First Name
Mohammadreza
Credential
NP
Provider Other Last Name
Feizi
Provider Other First Name
Mohammad
Provider Other Last Name Type Code
5
Mailing Street Address
601 Elmwood Avenue PO Box 670
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 273-1376
Practice Street Address
Strong Memorial Hospital 601 Elmwood Avenue
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-5645
Enumeration Date
July 03, 2020
Last Updated
April 16, 2021
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
April 16, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X), Acute Care Nurse Practitioner (363LA2100X), Neurological Surgery Physician (207T00000X)