MEDICARE: DR. GERARD PATRICK BARRY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0110X	Pediatric Ophthalmology and Strabismus Specialist Physician	246731	NY
2	207W00000X	Ophthalmology Physician	246731	NY

General Provider Information

NPI Number	:	1124289632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERARD PATRICK BARRY M.D.

Provider Business Mailing Address
First Line	:	920 ALBANY SHAKER RD
Second Line	:	SUITE 101
City	:	LATHAM
State	:	NY
Zip	:	12110
Country	:	US
Telephone Number	:	518-533-6502
Fax Number	:	518-533-6505

Provider Business Practice Location Address
First Line	:	920 ALBANY SHAKER RD
Second Line	:	SUITE 101
City	:	LATHAM
State	:	NY
Zip	:	12110
Country	:	US
Telephone Number	:	518-533-6502
Fax Number	:	518-533-6505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2008
Last Update Date	:	09/04/2024

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