Individual
DR. MARTIN B KABACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
165031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000407001002
BLUE SHIELD NENY
NY
01
—
0061268
GHI
NY
05
—
00940294
—
NY
01
—
040920000001
FIDELIS
NY
01
—
10000997
CDPHP
NY
05
—
1001807
—
VT
01
—
350872
MVP
NY
01
—
47437
GHI HMO
NY
01
—
MK044Z6810
BLUE CROSS
NY
Enumeration date
05/18/2006
Last updated
10/24/2007
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