Healthcare Provider Details
I. General information
NPI: 1932460490
Provider Name (Legal Business Name): SARAH S THAYIL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/31/2012
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 CLARA BARTON DR
ALBANY NY
12208-3472
US
IV. Provider business mailing address
2 CLARA BARTON DR
ALBANY NY
12208-3472
US
V. Phone/Fax
- Phone: 518-262-5511
- Fax:
- Phone: 518-262-5511
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | 332866 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: