NORTHEAST VITREO RETINAL ASSOC PC (NPI# 1093802597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093802597 |
| Entity Type | Organization |
| Organization Name | NORTHEAST VITREO RETINAL ASSOC PC |
| Practice Address |
349 Northern Blvd Albany NY 12204 |
| Practice Telephone | 5184651069 |
| Practice Fax Number | 5184268016 |
| Mailing Telephone | 5184651069 |
| Mailing Fax Number | 5184268016 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HOWARD L TANENBAUM (OWNER) |
| Authorized Official Telephone | 5184651069 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01793420 | 05 |
| Street Address |
349 NORTHERN BLVD |
| City | ALBANY |
| State | NY |
| Zip Code | 12204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316249469 | Jessica C Fleishman Md PC | Ophthalmology | 349 Northern Blvd, Albany, NY 12204-1032 | 2010-11-23 |
| 1588835763 | Albany Ivf-fertility and Gynecology Center | Specialist | 349 Northern Blvd, Albany, NY 12204-1032 | 2008-03-17 |
| 1669521845 | Jessica C Fleishman | Ophthalmology | 349 Northern Blvd, Albany, NY 12204-1032 | 2007-01-09 |
| 1437246931 | Anna Majerovics | Ophthalmology | 349 Northern Blvd, Albany, NY 12204 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568015352 | Chanel Bovian | Licensed Practical Nurse | 587 Broadway Apt.a2, Menands, NY 12204 | 2019-07-20 |
| 1659853513 | David Jonathan Brown | Driver | 456 North Pearl St., Albany, NY 12204 | 2018-09-06 |
| 1255686481 | Adam Michael Burman | Pharmacist | 350 Northern Boulevard, Albany, NY 12204 | 2012-07-13 |
| 1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
| 1306117270 | Jacqueline J Swenson | Physical Therapist | Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 | 2012-01-24 |
| 1730466681 | Kathleen C Dalcol | Registered Nurse | 570 North Pearl Street, North Albany Academy, Albany, NY 12204 | 2011-11-07 |
| 1649592049 | Shirley L Savage | Licensed Practical Nurse | 150 Broadway Ave., Suite 310, Menands, NY 12204 | 2010-02-26 |
| 1801084645 | The Embryology Network | Clinical Medical Laboratory | 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 | 2007-10-05 |
| 1124248430 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 63 Albany Shaker Road, Suite 102, Albany, NY 12204 | 2007-04-27 |
| 1578788204 | Antoinette June Holman | Licensed Practical Nurse | Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 | 2007-04-16 |
| Find all providers in zip 12204 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
| 1609936400 | Christopher Forrest Gabriels | Ophthalmology | 960 Western Ave, Albany, NY 12203-2512 | 2006-12-11 |
| 1558463802 | Firmin (f) Forrest Gabriels | Ophthalmology | 960 Western Avenue, Albany, NY 12203 | 2006-09-05 |
| 1932136827 | Michael Donald Radosevich | Ophthalmology | 1365 Washington Ave., Suite 101, Albany, NY 12206-1099 | 2006-06-27 |
| 1760429831 | Bruce W Madsen | Ophthalmology | 2715 Willetta St Sw, Suite B, Albany, OR 97321-3471 | 2006-05-31 |
| 1316995269 | Edward Joseph Martin | Ophthalmology | 246 New Scotland Ave, Albany, NY 12208-3101 | 2006-05-04 |
| 1912981002 | Bailey, Wakil & Auringer Eye Physicians & Surgeons,pllc | Ophthalmology | 222 Great Oaks Blvd, Albany, NY 12203-5962 | 2005-12-01 |
| 1972585628 | Ramsey R Elhosn | Ophthalmology | 2 Executive Park Drive, 2nd Floor, Ophthalmology Health Center, Albany, NY 12203 | 2005-11-17 |
| 1780675124 | Asher Weiner | Ophthalmology | 3 Atrium Dr, Suite 100, Albany, NY 12205-1417 | 2005-11-03 |
| 1467443564 | Robert B Feldman | Ophthalmology | 3 Atrium Dr Ste 100, Albany, NY 12205 | 2005-10-31 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.