Individual provider · Type 1 NPI

Faizo Mohamed

Physician Assistant · Auburn, NY

NPI number 1063264125 Active

Practice location

17 E Genesee St Ste 101
Auburn, NY 13021-4112

Fax (315) 253-0841

Mailing address

1512 Grant Blvd
Syracuse, NY 13208-3014

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063264125

Faizo Mohamed's National Provider Identifier is 1063264125, issued on Apr 3, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Auburn, NY. The record was last updated on Oct 25, 2025.