Provider Demographics
NPI:1811332083
Name:YAZDANYAR, AMIRFARBOD (MD/PHD)
Entity type:Individual
Prefix:DR
First Name:AMIRFARBOD
Middle Name:
Last Name:YAZDANYAR
Suffix:
Gender:M
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 MIDDLE SETTLEMENT RD STE B
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-5343
Mailing Address - Country:US
Mailing Address - Phone:315-732-0995
Mailing Address - Fax:315-732-0689
Practice Address - Street 1:4350 MIDDLE SETTLEMENT RD STE B
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-5343
Practice Address - Country:US
Practice Address - Phone:315-732-0995
Practice Address - Fax:315-732-0689
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA144400207WX0107X
NY285397-1207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist