Provider Demographics
NPI:1952326845
Name:RIFAI, ZIAD H (MD)
Entity Type:Individual
Prefix:DR
First Name:ZIAD
Middle Name:H
Last Name:RIFAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:199 PARRISH ST
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1788
Mailing Address - Country:US
Mailing Address - Phone:585-394-6811
Mailing Address - Fax:585-394-7497
Practice Address - Street 1:200 NORTH ST
Practice Address - Street 2:SUITE 302
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-1561
Practice Address - Country:US
Practice Address - Phone:315-787-5377
Practice Address - Fax:315-787-5374
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1969392084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01510769Medicaid
F90943Medicare UPIN
NYDD2883Medicare PIN