Healthcare Provider Details

I. General information

NPI: 1851218838
Provider Name (Legal Business Name): GHULAM AKBARI MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 SPORE RD
DELMAR NY
12054-5422
US

IV. Provider business mailing address

113 SPORE RD
DELMAR NY
12054-5422
US

V. Phone/Fax

Practice location:
  • Phone: 518-496-4653
  • Fax:
Mailing address:
  • Phone: 518-496-4653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: GHULAM A. AKBARI
Title or Position: OWNER/DOCTOR
Credential:
Phone: 518-505-8055