MEDICARE: QASIM SYED JAFFRI D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	5101016442	MI
2	2084P0800X	Psychiatry Physician	252014	NY

General Provider Information

NPI Number	:	1447469416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QASIM SYED JAFFRI D.O.

Provider Business Mailing Address
First Line	:	2800 SWEET HOME RD
Second Line	:	SUITE 8
City	:	BUFFALO
State	:	NY
Zip	:	14228-1300
Country	:	US
Telephone Number	:	716-691-0639
Fax Number	:	716-691-0410

Provider Business Practice Location Address
First Line	:	2800 SWEET HOME RD
Second Line	:	SUITE 8
City	:	BUFFALO
State	:	NY
Zip	:	14228-1300
Country	:	US
Telephone Number	:	716-639-0639
Fax Number	:	716-691-0410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	04/27/2009

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