Healthcare Provider Details

I. General information

NPI: 1386566529
Provider Name (Legal Business Name): MUSTAFA J AL ZUBAIDI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 GREAT MEADOW CIR
ROCHESTER NY
14623-2034
US

IV. Provider business mailing address

35 GREAT MEADOW CIR
ROCHESTER NY
14623-2034
US

V. Phone/Fax

Practice location:
  • Phone: 585-319-7569
  • Fax:
Mailing address:
  • Phone: 585-319-7569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: