Provider Demographics
NPI:1124289632
Name:BARRY, GERARD PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:GERARD
Middle Name:PATRICK
Last Name:BARRY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:920 ALBANY SHAKER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110
Mailing Address - Country:US
Mailing Address - Phone:518-533-6502
Mailing Address - Fax:518-533-6505
Practice Address - Street 1:920 ALBANY SHAKER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110
Practice Address - Country:US
Practice Address - Phone:518-533-6502
Practice Address - Fax:518-533-6505
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2024-09-04
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Provider Licenses
StateLicense IDTaxonomies
NY246731207WX0110X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist