MEDICARE: RETINA CONSULTANT, PLLC

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	207WX0107X	Retina Specialist (Ophthalmology) Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CK2870	OTHER	NY	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1841274016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETINA CONSULTANT, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 668
Second Line	:
City	:	SLINGERLANDS
State	:	NY
Zip	:	12159-0668
Country	:	US
Telephone Number	:	518-533-6550
Fax Number	:	518-533-6556

Provider Business Practice Location Address
First Line	:	1220 NEW SCOTLAND RD
Second Line	:	SUITE 201
City	:	SLINGERLANDS
State	:	NY
Zip	:	12159
Country	:	US
Telephone Number	:	518-533-6550
Fax Number	:	518-533-6556

Authorized Official
Title or Position	:	OWNER
Name	:	NAOMI S FALK
Credential	:	M.D.
Telephone Number	:	518-533-6550

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	04/21/2026

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Directions to “RETINA CONSULTANT, PLLC ” Practice Location

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