Organization
GLAUCOMA CONSULTANTS OF THE CAPITAL REGION,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN TROTTER SIMMONS M.D. (OWNER)
(518) 475-7300
Entity
Organization
Contact information
Practice address
1240 NEW SCOTLAND RD, SUITE 201, SLINGERLANDS, NY 12159-9222
(518) 475-7300
(518) 475-9174
Mailing address
PO BOX 115, SLINGERLANDS, NY 12159-0115
(518) 475-7300
(518) 475-9174
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG7910
RAILROAD MEDICARE
NY
Enumeration date
07/16/2006
Last updated
05/08/2008
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