1669769428 NPI number — DR. GOLALEH BARZANI DMD FACS

Table of content: DR. GOLALEH BARZANI DMD FACS (NPI 1669769428)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669769428 NPI number — DR. GOLALEH BARZANI DMD FACS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARZANI
Provider First Name:
GOLALEH
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD FACS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669769428
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/30/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4 PALISADES DR STE 250
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBANY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12205-1448
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-240-3750
Provider Business Mailing Address Fax Number:
518-240-3759

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
170 SARATOGA RD # 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCHENECTADY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12302-4513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-240-3750
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/30/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223S0112X , with the licence number:  057247-01 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)