Individual
DR. ALICE BADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
711 TROY SCHENECTADY RD, NORTHEAST EYE CENTER SUITE 109, LATHAM, NY 12110-2442
(518) 690-7020
(518) 690-7022
Mailing address
711 TROY SCHENECTADY RD, NORTHEAST EYE CENTER SUITE 109, LATHAM, NY 12110-2442
(518) 690-7020
(518) 690-7022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
003960
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400030167
MEDICARE NGS
NY
Enumeration date
02/01/2010
Last updated
04/09/2012
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