Healthcare Provider Details

I. General information

NPI: 1871266338
Provider Name (Legal Business Name): HOSPITALIST SERVICES OF OLEAN P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 07/29/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MAIN ST
OLEAN NY
14760-1598
US

IV. Provider business mailing address

6075 POPLAR AVE STE 401
MEMPHIS TN
38119-0114
US

V. Phone/Fax

Practice location:
  • Phone: 716-373-2600
  • Fax: 901-795-6060
Mailing address:
  • Phone: 901-795-3600
  • Fax: 901-795-6060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SANFORD GLANTZ
Title or Position: OWNER
Credential: MD
Phone: 901-795-3600