Organization
CAPITAL RETINA ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D MAYRON MD, FACS (PRESIDENT, OWNER)
(518) 785-1100
Entity
Organization
Contact information
Practice address
7D JOHNSON RD, LATHAM, NY 12110-3003
(518) 785-1100
(518) 785-1109
Mailing address
1399 NEW SCOTLAND ROAD, PO BOX 129, SLINGERLANDS, NY 12159-0129
(518) 785-1100
(518) 785-1109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
171638
NY
Other
Enumeration date
12/08/2006
Last updated
10/09/2018
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