GLAUCOMA SERVICES PC (NPI# 1871787085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871787085 |
| Entity Type | Organization |
| Organization Name | GLAUCOMA SERVICES PC |
| Practice Address |
2 Kross Keys Dr Suite 103 Albany NY 12205-1466 |
| Practice Telephone | 5184382751 |
| Practice Fax Number | 5184382753 |
| Mailing Telephone | 5184382751 |
| Mailing Fax Number | 5184382753 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | DR. PAUL STANLEY FELLENBAUM (PRESIDENT) |
| Authorized Official Telephone | 5184382751 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 208750 | NY | Other Service Providers |
| Street Address |
2 KROSS KEYS DR SUITE 103 |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871523662 | Paul Stanley Fellenbaum | Specialist | 2 Kross Keys Dr, Suite 103, Albany, NY 12205-1466 | 2006-07-04 |
| 1285991729 | Kristin Marie Degan | Specialist/Technologist | 2 Kross Keys Dr, Albany, NY 12205-1466 | 2012-04-23 |
| 1659654812 | Linda Kapusta | Psychologist | 2 Kross Keys Dr, Albany, NY 12205-1466 | 2011-09-23 |
| 1952601395 | Jessica B Kurimsky | Speech-Language Pathologist | 2 Kross Keys Dr, Albany, NY 12205-1466 | 2010-11-02 |
| 1386957132 | Karen Ann Vartigian | Speech-Language Pathologist | 2 Kross Keys Dr, Albany, NY 12205-1466 | 2010-07-22 |
| 1255644167 | Karen Diane Emigh | Occupational Therapist | 2 Kross Keys Dr, Albany, NY 12205-1466 | 2010-07-20 |
| 1124331244 | Katherine Elizabeth Gonzalez | Speech-Language Pathologist | 2 Kross Keys Dr, Albany, NY 12205-1466 | 2010-07-18 |
| 1093028383 | Carla Jean O'connor | Occupational Therapist | 2 Kross Keys Dr, Albany, NY 12205-1466 | 2010-07-15 |
| 1871810051 | Harvey Winter | Dentist | 2 Kross Keys Dr, Albany, NY 12205-1466 | 2010-04-27 |
| 1306061619 | Shannon Marie Harmon | Speech-Language Pathologist | 2 Kross Keys Dr, Albany, NY 12205-1466 | 2007-04-13 |
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|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114428141 | Johnae Patrice Galloway | Specialist | 600 New Scotland Ave, Albany, NY 12208-1928 | 2018-02-25 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1457703217 | Rebecca Burke | Specialist | 113 Krumkill Rd, Albany, NY 12208-1249 | 2016-07-05 |
| 1639535933 | Emily Soule | Specialist | 687 Myrtle Ave, Apt 1, Albany, NY 12208-3711 | 2016-01-04 |
| 1891163903 | Anca Rabinowitz | Specialist | 22a Old Hickory Dr, Apt.2a, Albany, NY 12204-1137 | 2015-09-04 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1700226792 | Jeffrey Sansobrino | Specialist | 1 Rapp Rd # 1, Albany, NY 12203-4491 | 2013-07-05 |
| 1306186739 | Kate Ireland Panza | Specialist | 29 Krug Ct, Albany, NY 12211-1914 | 2013-02-21 |
| 1992045470 | Maryjo Aidala | Specialist | 1658 Central Ave, Albany, NY 12205-4029 | 2013-02-21 |
| 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.