VYACHESLAV GLUKH (NPI# 1447689179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447689179 |
Entity Type | Individual |
Full Name | VYACHESLAV GLUKH |
Practice Address |
31 Gwenn Loop Staten Island NY 10314-6401 |
Mailing Address |
8023 19th Ave Apt 6j Brooklyn NY 11214-1740 |
Practice Telephone | 3477331774 |
Enumeration Date | 2013-11-04 |
Last Update Date | 2016-02-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 193400000X | Single Specialty | 019190 | NY | Group |
Street Address |
31 GWENN LOOP |
City | STATEN ISLAND |
State | NY |
Zip Code | 10314-6401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
Find all providers in zip 10314 |
Taxonomy Code | 193400000X |
Grouping | Group |
Classification | Single Specialty |
A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487947537 | Vincenza Mineo | Single Specialty | 1368 Clove Rd, Staten Island, NY 10301-4303 | 2011-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477980423 | Ahmed Manaa | Single Specialty | 2514 E 14th St, Brooklyn, NY 11235-3904 | 2013-10-06 |
1437311487 | Muhammad Farooq U Qureshi | Single Specialty | 769 Commack Rd, Brentwood, NY 11717-7407 | 2008-07-01 |
1548498413 | Zerah Ali | Single Specialty | 3922 W Main Street Rd, Batavia, NY 14020-9467 | 2009-06-30 |
City | STATEN ISLAND |
Zip Code | 10314 |
Please comment or provide details below to improve the information on VYACHESLAV GLUKH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.