Glezerov, Valery

Glezerov, Valery is an individual health care provider with primary practice located at 80Th St & 41St Ave , Elmhurst NY 11373-1329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Glezerov, Valery can be contacted via phone (718) 334-5970.

Contact Information

Primary practice address
80Th St & 41St Ave Elmhurst NY 11373-1329
Fax: (718) 334-5958
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 162982 New York

Profile Details

NPI number 1043301799
LBN Legal business name Glezerov, Valery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1043301799 NPPES
New York MEDICAID 00246075

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