Individual
DR. BEHROOZ EBRAHIMI-FARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PARK ST, GLENS FALLS HOSPITAL - BEHAVIORAL HEALTH SERV, GLENS FALLS, NY 12801-4413
(518) 926-3210
(518) 926-3215
Mailing address
2 BROAD STREET PLZ, ADIRONDACK MEDICAL SERVICES, GLENS FALLS, NY 12801-4369
(518) 926-5924
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
220273-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02300461
—
NY
Enumeration date
05/16/2006
Last updated
01/03/2017
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