Ansari, Farrukh Aziz

Ansari, Farrukh Aziz is an individual health care provider with primary practice located at 121 Everett Rd Ste 100 , Albany NY 12205-1447. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Ansari, Farrukh Aziz can be contacted via phone (518) 489-2663.

Contact Information

Primary practice address
121 Everett Rd Ste 100 Albany NY 12205-1447
Phone: (518) 489-2663
Fax: (518) 689-3881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 269588 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 269588 New York

Profile Details

NPI number 1174814933
LBN Legal business name Ansari, Farrukh Aziz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2011
Last updated Dec 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174814933 NPPES
New York Other 269588 NY LICENSE
New York MEDICAID 04272804 NY LICENSE

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