Healthcare Provider Details

I. General information

NPI: 1407790843
Provider Name (Legal Business Name): SANA TAHIR EFFENDI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421A MOE RD
CLIFTON PARK NY
12065-5100
US

IV. Provider business mailing address

421A MOE RD
CLIFTON PARK NY
12065-5100
US

V. Phone/Fax

Practice location:
  • Phone: 518-583-8481
  • Fax: 518-580-4285
Mailing address:
  • Phone: 518-583-8481
  • Fax: 518-580-4285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: