Individual ProviderMohammed ElbadriStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1555 Long Pond Rd, Rochester, NY 14626-4122(585) 723-7746PECOS EnrollmentBased on the most recent information from CMS, provider Mohammed Elbadri does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1417518549Provider TypeIndividualFull NameElbadri, MohammedCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/28/2019Last Updated6/28/2019Contact InformationPractice LocationPractice Address1555 Long Pond Rd, Rochester, NY 14626-4122Phone(585) 723-7746Fax(585) 723-7834Mailing LocationMailing Address1555 Long Pond Rd, Rochester, NY 14626-4122Phone(585) 723-7746Fax(585) 723-7834Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer