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Organization
GLAUCOMA PRACTICE OF NEW YORK, PLLC
Active
Organization
GLAUCOMA PRACTICE OF NEW YORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAI BHUJANGARAO GANDHAM M.D. (OWNER)
(518) 533-6565
Entity
Organization
Contact information
Practice address
1220 NEW SCOTLAND RD, SUITE 303, SLINGERLANDS, NY 12159-9386
(518) 533-6565
(518) 533-6567
Mailing address
PO BOX 358, LATHAM, NY 12110-0358
(518) 533-6565
(518) 533-6567
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF0279
RAILROAD MEDICARE
NY
Enumeration date
07/03/2006
Last updated
10/01/2014
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