Dr. Fazeli & Dr. Broumand LLC

NPI #1336235639 in Fayetteville, New York

Provider Information

NPI Number: 1336235639
Entity Type: Organization
Organization Name: Dr. Fazeli & Dr. Broumand LLC
Primary Specialty: Dermatology
Enumeration Date: Oct 5, 2006
Last Updated: Mar 7, 2024

Practice Location

Address: 4110 MEDICAL CENTER DR
City: Fayetteville
State: New York
ZIP Code: 13066-6613
Phone: (315) 663-0100

Authorized Official

Name: DR. AMIN FAZELI, M.D.
Title: PRESIDENT
Phone: (315) 663-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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Provider Name	Specialty	City
Amin Fazeli, MD	Dermatology	Fayetteville	AI Deep Dive
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Organizations

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James C Prezzano MD Pllc	Dermatology	Fayetteville	AI Deep Dive

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