Northeast Vitreo Retinal Assoc Pc

LBN: Northeast Vitreo Retinal Assoc Pc
Northeast Vitreo Retinal Assoc Pc is an health care organization with primary practice located at 349 Northern Blvd , Albany NY 12204. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Northeast Vitreo Retinal Assoc Pc can be contacted via phone (518) 465-1069, or through Tanenbaum, Howard L via phone (518) 465-1069.

Contact Information

Primary practice address
349 Northern Blvd Albany NY 12204
Phone: (518) 465-1069
Fax: (518) 426-8016
Website:
Map and Directions
Authorized official contact:
Name: Tanenbaum, Howard L Doctor of Medicine (MD)
Phone: (518) 465-1069

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1093802597
LBN Legal business name Northeast Vitreo Retinal Assoc Pc
DBA Doing business as
Authorized official Tanenbaum, Howard L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093802597 NPPES
New York MEDICAID 01793420

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