Individual
DR. FARZAD SANI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
88 BROAD ST, GLENS FALLS, NY 12801-4382
(518) 798-9966
(518) 798-0616
Mailing address
88 BROAD ST, GLENS FALLS, NY 12801-4382
(518) 798-9966
(518) 798-0616
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
050757
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000404001003
BLUE SHIELD
NY
01
—
000404001004
BLUE SHIELD
NY
01
—
000404001005
BLUE SHIELD
NY
01
—
0017845
DORAL DENTAL
NY
05
—
02410617
—
NY
01
—
10072379
CDPHP
NY
Enumeration date
10/26/2005
Last updated
07/08/2007
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