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General NPI Number Information
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NPI Number | 1669617262
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Entity Type | Organization
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Legal Business Name | NORTHEAST EYE BILLING
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | 711 TROY SCHENECTADY ROAD SUITE 109
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City | LATHAM
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State | NY
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Zip | 12110-2454
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Country | US
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Telephone | 518-690-7021
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Fax | 518-690-7022
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Provider Business Mailing Address
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Address Line | PO BOX 5346
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City | CLIFTON PARK
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State | NY
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Zip | 12065-0865
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Country | US
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Telephone | 518-690-7021
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Fax | 518-690-7022
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Authorized Official
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Title or Position | OWNER
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Name | DR. NATALIE W LOPASIC
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Credential | MD
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Telephone | 518-690-7020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 207362-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 209679-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 210538-1
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License Number State | NY
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