Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Faizo Mohamed

Individual provider Physician Assistant · NPI 1063264125

Faizo Mohamed is a Physician Assistant in Auburn, New York. Qualified in 2025, 1 year ago. Practices with Auburn Memorial Medical Services PC, a 122-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

17 E Genesee St Ste 101
Auburn, NY 13021-4112
Phone: (315) 253-5151
Fax: (315) 253-0841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063264125
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2024
Last updated in NPPESOctober 25, 2025
Certification dateOctober 25, 2025
Mailing address1512 Grant Blvd, Syracuse, NY 13208-3014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Auburn Memorial Medical Services Pc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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