Individual
DR. FARRUKH AZIZ ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663
(518) 689-3881
Mailing address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663
(518) 689-3881
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
269588
NY
208VP0000X
Pain Medicine Physician
269588
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
269588
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04272804
—
NY
Enumeration date
04/28/2011
Last updated
07/16/2025
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