| Mohamad Yousuf Fazili, MD | |
|
3469 Harlem Rd, Cheektowaga, NY 14225-2001 | |
| (716) 833-3008 | |
| (716) 833-3009 |
| Full Name | Mohamad Yousuf Fazili |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 3469 Harlem Rd, Cheektowaga, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265477491 | NPI | - | NPPES |
| 1704040 | Other | NY | INDEPENDENT HEALTH |
| 00657034 | Medicaid | NY | |
| 00020506201 | Other | NY | UNIVERA HEALTHCARE |
| 000507548001 | Other | NY | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 123086 (New York) | Primary |
| Entity Name | Sisters Of Charity Hospital Of Buffalo New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790727543 PECOS PAC ID: 6204749153 Enrollment ID: O20031126000557 |
| Entity Name | Kenmore Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770598104 PECOS PAC ID: 7517870462 Enrollment ID: O20040319000138 |
| Entity Name | Mount St. Marys Hospital Of Niagara Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043394745 PECOS PAC ID: 4082523790 Enrollment ID: O20040403000031 |
| Entity Name | Mercy Hospital Of Buffalo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164464921 PECOS PAC ID: 8729991666 Enrollment ID: O20040702001253 |
| Entity Name | Wny Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154421246 PECOS PAC ID: 9335191733 Enrollment ID: O20050214000821 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohamad Yousuf Fazili, MD 3469 Harlem Rd, Cheektowaga, NY 14225-2001 Ph: (716) 833-3008 | Mohamad Yousuf Fazili, MD 3469 Harlem Rd, Cheektowaga, NY 14225-2001 Ph: (716) 833-3008 |
Dr. John B Wiles, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2625 Harlem Rd, Ste 140, Cheektowaga, NY 14225 Phone: 716-893-0221 Fax: 716-893-0225 | |
Daniel Slack, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2625 Harlem Rd, Cheektowaga, NY 14225 Phone: 716-893-0333 | |
Dr. John Daniel Rutkoski, MD, FACS, FASMBS Surgery Medicare: Accepting Medicare Assignments Practice Location: 2625 Harlem Rd Ste 240, Cheektowaga, NY 14225 Phone: 716-893-0333 Fax: 716-893-3038 |