Provider Demographics
NPI:1316055940
Name:SARATOGA VITREO-RETINAL OPHTHALMOLOGY, PLLC
Entity type:Organization
Organization Name:SARATOGA VITREO-RETINAL OPHTHALMOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:AMJAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:518-580-0553
Mailing Address - Street 1:658 MALTA AVE
Mailing Address - Street 2:SUITE #101
Mailing Address - City:MALTA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-4105
Mailing Address - Country:US
Mailing Address - Phone:518-580-0553
Mailing Address - Fax:518-580-0557
Practice Address - Street 1:658 MALTA AVE
Practice Address - Street 2:SUITE #101
Practice Address - City:MALTA
Practice Address - State:NY
Practice Address - Zip Code:12020-4105
Practice Address - Country:US
Practice Address - Phone:518-580-0553
Practice Address - Fax:581-580-0557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty