Organization
SCHENECTADY EYE SURGERY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLENE FULLER B.A. (OFFICE MANAGER)
(518) 374-0483
Entity
Organization
Contact information
Practice address
1201 NOTT ST, STE. 105, SCHENECTADY, NY 12308-2589
(518) 374-0483
(518) 374-0515
Mailing address
1201 NOTT ST STE 105, SCHENECTADY, NY 12308-2589
(518) 374-0483
(518) 374-0515
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1705
CDPHP
NY
Enumeration date
06/19/2013
Last updated
06/25/2014
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