| NPI | 1447469168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRODERICK WHALEN Ophthalmologist 518-465-7172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 102495) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-11-21 |