# GLAUCOMA PRACTICE OF NEW YORK, PLLC

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

## Provider details

- **NPI number:** 1891725081
- **Authorized official:** DR. SAI BHUJANGARAO GANDHAM M.D. (OWNER)
- **Authorized official phone:** (518) 533-6565

## Contact information

- **Practice address:** 1220 NEW SCOTLAND RD, SUITE 303, SLINGERLANDS, NY 12159-9386
- **Practice address phone:** (518) 533-6565
- **Practice address fax:** (518) 533-6567
- **Mailing address:** PO BOX 358, LATHAM, NY 12110-0358
- **Mailing address phone:** (518) 533-6565
- **Mailing address fax:** (518) 533-6567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 10/01/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DF0279 | RAILROAD MEDICARE | NY |