Provider Demographics
NPI:1053369199
Name:JAFFRI, SYED (MD,MRC,PSYCH)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:
Last Name:JAFFRI
Suffix:
Gender:M
Credentials:MD,MRC,PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 SWEET HOME RD
Mailing Address - Street 2:#8
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1300
Mailing Address - Country:US
Mailing Address - Phone:716-691-0639
Mailing Address - Fax:716-691-0410
Practice Address - Street 1:2800 SWEET HOME RD
Practice Address - Street 2:#8
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1300
Practice Address - Country:US
Practice Address - Phone:716-691-0639
Practice Address - Fax:716-691-0410
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1108102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00613570Medicaid
NY00613570Medicaid