# MICHAEL B WHALEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447469168
- **Authorized official:** DR. MICHAEL BRODERICK WHALEN MD (OPHTHALMOLOGIST)
- **Authorized official phone:** (518) 465-7172

## Contact information

- **Practice address:** 1375 WASHINGTON AVE, SUITE 227, ALBANY, NY 12206-1056
- **Practice address phone:** (518) 465-7172
- **Practice address fax:** (518) 465-7177
- **Mailing address:** 1375 WASHINGTON AVE, SUITE 227, ALBANY, NY 12206-1056
- **Mailing address phone:** (518) 465-7172
- **Mailing address fax:** (518) 465-7177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 102495 | NY | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 11/21/2007