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MUTASIM IDRISS MD
NPI 1760168157
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since June 22, 2023
1561 LONG POND RD STE 206, ROCHESTER, NY 14626(585) 368-4800(585) 368-4815 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mutasim Idriss Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUTASIM IDRISS MD (NPI 1760168157) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since June 2023. He maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1760168157
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMUTASIM IDRISSCredential: MD
Location Address1561 LONG POND RD STE 206Rochester, NY 14626-4135
Mailing Address1555 Long Pond RdRochester, NY 14626-4164 · (585) 723-7746 · Fax (585) 723-7834
Phone(585) 368-4800
Fax(585) 368-4815
Sole ProprietorNo
Enumeration DateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1760168157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1561 LONG POND RD STE 206, Rochester, NY 14626
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Secondary Practice Location 1

Location 11555 Long Pond RdRochester, NY 14626-4164 · Phone (585) 723-7746 · Fax (585) 723-7834

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAHAD EID MD
Student in an Organized Health Care Education/Training Program
1561 LONG POND RD STE 206
ROCHESTER, NY 14626
Monroe County (585) 368-4800
YASIR LOAI MD
Internal Medicine
1561 LONG POND RD STE 206
ROCHESTER, NY 14626
Monroe County (585) 368-4800
JEREMIAH JACOB TOM MD
Student in an Organized Health Care Education/Training Program
1561 LONG POND RD STE 206
ROCHESTER, NY 14626
Monroe County (585) 368-4800
ZENA ALI SADIK AL-HITI MD
Student in an Organized Health Care Education/Training Program
1561 LONG POND RD STE 206
ROCHESTER, NY 14626
Monroe County (585) 368-4800
MOHANAD SHEHADEH MD
Student in an Organized Health Care Education/Training Program
1561 LONG POND RD STE 206
ROCHESTER, NY 14626
Monroe County (585) 368-4800
OMER AHMED MD
Student in an Organized Health Care Education/Training Program
1561 LONG POND RD STE 206
ROCHESTER, NY 14626
Monroe County (585) 368-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mutasim Idriss's NPI number?

The NPI number for Mutasim Idriss is 1760168157. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Mutasim Idriss located?

Mutasim Idriss practices at 1561 Long Pond Rd Ste 206, Rochester, NY 14626. The listed phone number is (585) 368-4800.

What is Mutasim Idriss's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mutasim Idriss was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.