Healthcare Provider Details

I. General information

NPI: 1780876573
Provider Name (Legal Business Name): CHRISTINE ANN GLADY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 FIRST AVENUE BELLEVUE HOSPITAL
NEW YORK NY
10016
US

IV. Provider business mailing address

550 FIRST AVENUE OBV ROOM A625 XIOMARA CRUZ NYU SCHOOL OF MEDICINE DEPT
NEW YORK NY
10016
US

V. Phone/Fax

Practice location:
  • Phone: 212-562-1000
  • Fax:
Mailing address:
  • Phone: 212-263-2544
  • Fax: 212-263-7199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number002946
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: