Atiles, Glorimar

Atiles, Glorimar is an individual health care provider with primary practice located at 319 S Manning Blvd Suite 304, Albany NY 12208-1742. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Atiles, Glorimar can be contacted via phone (518) 525-5206.

Contact Information

Primary practice address
319 S Manning Blvd Suite 304 Albany NY 12208-1742
Fax: (518) 525-5209
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 231845-1 New York

Profile Details

NPI number 1295778025
LBN Legal business name Atiles, Glorimar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated May 6th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295778025 NPPES
New York MEDICAID 02748112

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