Individual
DR. FARZAD SARMAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 413-7865
(315) 679-5990
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 413-7865
(315) 679-5990
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
245840
NY
207Q00000X
Family Medicine Physician
Primary
245840-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02960052
—
NY
05
—
1104014422
—
NY
01
—
204494493
BLUE SHIELD
NY
Enumeration date
10/11/2007
Last updated
01/12/2017
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