Provider Demographics
NPI:1932403789
Name:OPHTHALMOLOGY ASSOCIATE, PLLC
Entity Type:Organization
Organization Name:OPHTHALMOLOGY ASSOCIATE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:E
Authorized Official - Last Name:MURAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-371-0765
Mailing Address - Street 1:1789 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-2438
Mailing Address - Country:US
Mailing Address - Phone:518-371-0765
Mailing Address - Fax:518-383-9888
Practice Address - Street 1:1789 ROUTE 9
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-2438
Practice Address - Country:US
Practice Address - Phone:518-371-0765
Practice Address - Fax:518-383-9888
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPHTHALMOLOGY ASSOCIATE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty