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Vyacheslav Glukh
Single Specialty Group in Staten Island, New York
NPI 1447689179

Vyacheslav Glukh is a Single Specialty Group based in Brooklyn, NY. Vyacheslav Glukh practices in Staten Island, NY. The NPI Number for Vyacheslav Glukh is 1447689179 and holds a License No. 019190 (New York).

The current practice location address for Vyacheslav Glukh is 31 Gwenn Loop, Staten Island, NY and can be reached out via phone at 347-733-1774.

Location: 31 Gwenn Loop, Staten Island, NY, 11214-1740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447689179
Provider Name
Vyacheslav Glukh
Credential
Provider Entity Type
Individual
Gender
Male
Address
31 Gwenn Loop, Staten Island, NY, 11214-1740
Phone Number
347-733-1774
Fax Number
Provider Enumeration Date
11/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31 Gwenn Loop
City
Staten Island
State
New York
Zip
10314-6401
Phone Number
347-733-1774
Fax Number
person
Provider Business Mailing Address Details
Address
31 Gwenn Loop
City
Staten Island
State
New York
Zip
10314-6401
Phone Number
347-733-1774
Fax Number
person
Provider's Taxonomy Details 1
Type
Group
Classification
Single Specialty
Speciality
-
Taxonomy
193400000X
License No.
019190 (New York)
Definition
A business group of one or more individual practitioners, all of who practice with the same area of specialization.
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