Scibilia, Glenn Douglas

Scibilia, Glenn Douglas is an individual health care provider with primary practice located at 375 E Main St Suite 24, Bay Shore NY 11706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Scibilia, Glenn Douglas can be contacted via phone (631) 665-1330.

Contact Information

Primary practice address
375 E Main St Suite 24 Bay Shore NY 11706
Phone: (631) 665-1330
Fax: (631) 665-1363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 190316 New York

Profile Details

NPI number 1720057060
LBN Legal business name Scibilia, Glenn Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Oct 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720057060 NPPES
New York MEDICAID 01592429

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