Loria, Glen
Loria, Glen is an sole proprietor health care provider with primary practice located at 119-05 Rockaway Blvd , South Ozone Park NY 11420-2421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Loria, Glen can be contacted via phone (718) 843-3003.Contact Information
Primary practice address
119-05 Rockaway Blvd
South Ozone Park NY 11420-2421
Phone: (718) 843-3003
Fax: (718) 843-3504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 153712 | New York |
Profile Details
| NPI number | 1730293671 |
|---|---|
| LBN Legal business name | Loria, Glen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 13th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730293671 | NPPES |
| New York | MEDICAID | 00778794 |
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