Organization
CAPITAL REGION RETINA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H ATERN M.D., PH.D. (OWNER)
(518) 437-1111
Entity
Organization
Contact information
Practice address
1365 WASHINGTON AVE, SUITE 101, ALBANY, NY 12206-1068
(518) 437-1111
(518) 435-1114
Mailing address
1365 WASHINGTON AVE, SUITE 101, ALBANY, NY 12206-1068
(518) 437-1111
(518) 435-1114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
184437
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01482508
—
NY
Enumeration date
12/27/2007
Last updated
12/27/2007
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