Organization
GLAUCOMA PRACTICE OF NEW YORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAI BHUJANGARAO GANDHAM M.D. (OWNER)
(518) 533-6565
Entity
Organization
Contact information
Practice address
1220 NEW SCOTLAND RD, SUITE 303, SLINGERLANDS, NY 12159-9386
(518) 533-6565
(518) 533-6567
Mailing address
PO BOX 358, LATHAM, NY 12110-0358
(518) 533-6565
(518) 533-6567
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF0279
RAILROAD MEDICARE
NY
Enumeration date
07/03/2006
Last updated
10/01/2014
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