Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | L235344 | NY |
NPI | 1003815184 |
---|---|
Provider Name | Armin Afsar-Keshmiri |
First Address | Glens Falls, NY 12801-4311 |
Second Address | Queensbury, NY 12804-1711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 26/07/2016 |