Healthcare Provider Details

I. General information

NPI: 1922195429
Provider Name (Legal Business Name): GLENN B SLOAT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE WOUND CARE CENTER 600 NORTHERN BLVD
ALBANY NY
12204-1004
US

IV. Provider business mailing address

PO BOX 12312
ALBANY NY
12212-2312
US

V. Phone/Fax

Practice location:
  • Phone: 518-471-3705
  • Fax: 518-471-3648
Mailing address:
  • Phone: 518-459-0711
  • Fax: 518-640-1690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number172962
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number172960
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: