Provider Demographics
NPI:1962514463
Name:JAFFRI MEDICAL ASSOCIATES L.L.C.
Entity type:Organization
Organization Name:JAFFRI MEDICAL ASSOCIATES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:S
Authorized Official - Last Name:JAFFRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-691-0639
Mailing Address - Street 1:2800 SWEET HOME RD
Mailing Address - Street 2:STE 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:STE 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY110810-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00613570Medicaid
NY00613570Medicaid
NY051811Medicare ID - Type UnspecifiedS JAFFRI