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1760168157
MUTASIM IDRISS
ROCHESTER, NY
NPI
1760168157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-06-22
Last Update Date
2023-06-22
Business Address
MUTASIM IDRISS MD
1561 LONG POND RD STE 206
ROCHESTER, NY 14626-4135
Phone number: 585-368-4800
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Mailing Address
MUTASIM IDRISS MD
1555 LONG POND RD
ROCHESTER, NY 14626-4164
Phone number: 585-723-7746
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