Healthcare Provider Details

I. General information

NPI: 1932182649
Provider Name (Legal Business Name): JAMES CRAIG AZURIN MD MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 11/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 LAC DEVILLE BOULEVARD
ROCHESTER NY
14618-5659
US

IV. Provider business mailing address

2101 LAC DEVILLE BOULEVARD
ROCHESTER NY
14618-5659
US

V. Phone/Fax

Practice location:
  • Phone: 585-546-3265
  • Fax: 585-232-5158
Mailing address:
  • Phone: 585-546-3265
  • Fax: 585-232-5158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number231421-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: