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NPI Code Detail

MEDICARE: IRENE GLADSTEIN MD PC

MEDICARE: IRENE GLADSTEIN MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center229431NY
2261QS0132XOphthalmologic Surgery Clinic/Center229431NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811171770
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRENE GLADSTEIN MD PC
Provider Business Mailing Address
First Line : 2076 E 13TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3304
Country : US
Telephone Number : 718-382-7900
Fax Number : 718-382-7901
Provider Business Practice Location Address
First Line : 2076 E 13TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3304
Country : US
Telephone Number : 718-382-7900
Fax Number : 718-382-7901
Authorized Official
Title or Position : DIRECTOR
Name : IRENE GLADSTEIN
Credential : M.D.
Telephone Number : 718-382-7900
Provider Enumeration Date : 12/27/2007
Last Update Date : 03/31/2008

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