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General NPI Number Information
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NPI Number | 1073008892
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Entity Type | Individual
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Provider Name | ZAID H JUMAILY MD
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Gender | Male
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1425 PORTLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14621-3011
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Country | US
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Telephone | 585-922-4159
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Fax | 585-922-3731
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Provider Business Mailing Address
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Address Line | 1328 COVE AVE APT 5
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City | LAKEWOOD
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State | OH
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Zip | 44107-2142
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Country | US
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Telephone | 716-475-3191
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 57.246324
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License Number State | OH
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