Healthcare Provider Details

I. General information

NPI: 1922931534
Provider Name (Legal Business Name): GEETA SANGANI PHYSICIAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 W SENECA ST
MANLIUS NY
13104-2318
US

IV. Provider business mailing address

308 W SENECA ST
MANLIUS NY
13104-2318
US

V. Phone/Fax

Practice location:
  • Phone: 315-682-5080
  • Fax: 315-682-2150
Mailing address:
  • Phone: 315-682-5080
  • Fax: 315-682-2150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: GEETA A SANGANI
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 315-382-5085