Individual
DANESH IRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4523
(518) 952-8142
(518) 952-8109
Mailing address
PO BOX 31094, HARTFORD, CT 06150-1094
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0047471
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02636299
—
NY
Enumeration date
10/13/2006
Last updated
12/11/2007
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