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Contact Information

CAPITAL REGION PEDIATRIC MEDICAL EYE CONSULTANT, PLLC
920 ALBANY SHAKER RD STE 101
LATHAM, NY12110-1468
 Phone: 518-533-6502
 Fax: 518-533-6505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for CAPITAL REGION PEDIATRIC MEDICAL EYE CONSULTANT PLLC · (Female)

NPI Number 1851865513
Status Active
Credentials
Entity Individual
Enumeration date 01/16/2019
Last updated 09/01/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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