Provider Demographics
NPI:1003815184
Name:AFSAR-KESHMIRI, ARMIN (MD)
Entity Type:Individual
Prefix:
First Name:ARMIN
Middle Name:
Last Name:AFSAR-KESHMIRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MURRAY ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4311
Mailing Address - Country:US
Mailing Address - Phone:518-743-1010
Mailing Address - Fax:518-743-1018
Practice Address - Street 1:7 MURRAY ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4311
Practice Address - Country:US
Practice Address - Phone:518-743-1010
Practice Address - Fax:518-793-5916
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYL235344207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2681890Medicaid