Individual provider · Type 1 NPI

Jehanzeb Bukhari, PA

Physician Assistant · Cicero, NY

NPI number 1790594968 Active

Practice location

5586 Legionnaire Dr Ste 1
Cicero, NY 13039-3504

Fax (315) 752-0030

Mailing address

4333 Kelsey Dr
Syracuse, NY 13215-1254

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X034612 (NY)

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 1790594968

Jehanzeb Bukhari, PA's National Provider Identifier is 1790594968, issued on Jan 2, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cicero, NY. The record was last updated on Sep 28, 2025.