National Provider Identifier
Gissou Azabdaftari, MD
Gissou Azabdaftari, MD is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician in East Amherst, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1952348575
- Provider Type
- Individual
- Primary Specialty
- Anatomic Pathology & Clinical Pathology Physician
- Enumeration Date
- June 01, 2006
- Last Updated
- February 19, 2025
Practice Location
- 8 Sable Ct W
- East Amherst, NY 14051-2210
Phone: (716) 845-2300
Mailing Address
- 601 Elmwood Avenue
- Box 626
- Rochester, NY 14642-0001
Specialties
- Anatomic Pathology & Clinical Pathology Physician (207ZP0102X)
- Anatomic Pathology Physician (207ZP0101X)
Full Record
- NPI
- 1952348575
- Entity Type
- Individual
- Last Name
- Azabdaftari
- First Name
- Gissou
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Avenue
- Mailing Address Line 2
- Box 626
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-5656
- Mailing Fax
- (585) 276-2024
- Practice Street Address
- 8 Sable Ct W
- Practice City
- East Amherst
- Practice State
- NY
- Practice ZIP Code
- 14051-2210
- Practice Country
- US
- Practice Phone
- (716) 845-2300
- Practice Fax
- (716) 845-3427
- Enumeration Date
- June 01, 2006
- Last Updated
- February 19, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 10, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), Anatomic Pathology Physician (207ZP0101X)
- Other Identifiers
- 03225023 (NY)