MEDICARE: PETER J. DUFFY, MD

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	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1184931677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER J. DUFFY, MD

Provider Business Mailing Address
First Line	:	1375 WASHINGTON AVE
Second Line	:	SUITE 227
City	:	ALBANY
State	:	NY
Zip	:	12206-1070
Country	:	US
Telephone Number	:	518-465-7172
Fax Number	:	518-465-7177

Provider Business Practice Location Address
First Line	:	1375 WASHINGTON AVE
Second Line	:	SUITE 227
City	:	ALBANY
State	:	NY
Zip	:	12206-1070
Country	:	US
Telephone Number	:	518-465-7172
Fax Number	:	518-465-7177

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PETER J DUFFY
Credential	:	M.D.
Telephone Number	:	518-465-7172

Provider Enumeration Date	:	09/07/2010
Last Update Date	:	09/07/2010

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