Glorimar Atiles Md Pllc

LBN: Glorimar Atiles Md Pllc
Glorimar Atiles Md Pllc is an health care organization with primary practice located at 319 S Manning Blvd Suite 304, Albany NY 12208-1742. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Glorimar Atiles Md Pllc can be contacted via phone (518) 525-5206, or through Atiles, Glorimar 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:
Authorized official contact:
Name: Atiles, Glorimar Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1366600298
LBN Legal business name Glorimar Atiles Md Pllc
DBA Doing business as
Authorized official Atiles, Glorimar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2008
Last updated May 11th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366600298 NPPES
New York MEDICAID 02748112

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