Provider Demographics
NPI:1295373306
Name:GAZALI CARE
Entity Type:Organization
Organization Name:GAZALI CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:GAZALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-507-0312
Mailing Address - Street 1:114 BIRR ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14613-1736
Mailing Address - Country:US
Mailing Address - Phone:585-507-0312
Mailing Address - Fax:585-287-5529
Practice Address - Street 1:280 NORTH ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-2539
Practice Address - Country:US
Practice Address - Phone:585-507-0312
Practice Address - Fax:585-287-5529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care