Sani, Farzad
Sani, Farzad is an individual health care provider with primary practice located at 88 Broad St , Glens Falls NY 12801-4382. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Sani, Farzad can be contacted via phone (518) 798-9966.Contact Information
Primary practice address
88 Broad St
Glens Falls NY 12801-4382
Phone: (518) 798-9966
Fax: (518) 798-0616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 050757 | New York |
Profile Details
| NPI number | 1073503504 |
|---|---|
| LBN Legal business name | Sani, Farzad |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073503504 | NPPES |
| New York | Other | 000404001005 | BLUE SHIELD |
| New York | Other | 0017845 | BLUE SHIELD |
| New York | MEDICAID | 02410617 | BLUE SHIELD |
| New York | Other | 10072379 | BLUE SHIELD |
| New York | Other | 000404001003 | BLUE SHIELD |
| New York | Other | 000404001004 | BLUE SHIELD |
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