Northeast Vitreo Retinal Assoc PC

NPI #1093802597 in Albany, New York

Provider Information

NPI Number: 1093802597
Entity Type: Organization
Organization Name: Northeast Vitreo Retinal Assoc PC
Primary Specialty: Ophthalmology
Enumeration Date: Oct 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 349 NORTHERN BLVD
City: Albany
State: New York
ZIP Code: 12204
Phone: (518) 465-1069

Authorized Official

Name: DR. HOWARD L TANENBAUM, MD
Title: OWNER
Phone: (518) 465-1069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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