Stoller, Glenn L

Stoller, Glenn L is an individual health care provider with primary practice located at 2000 N Village Ave Ste 402, Rockville Centre NY 11570-1001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Stoller, Glenn L can be contacted via phone (516) 766-2519.

Contact Information

Primary practice address
2000 N Village Ave Ste 402 Rockville Centre NY 11570-1001
Phone: (516) 766-2519
Fax: (516) 766-3714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 186295 New York

Profile Details

NPI number 1558366526
LBN Legal business name Stoller, Glenn L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 17th, 2019 - about 6 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 1558366526 NPPES
New York MEDICAID 01809778

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