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NPI 1013544394

NPI 1013544394 : YOAV GLIDAI MD : GREAT NECK, NY

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General NPI Number Information
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    NPI Number           |    1013544394
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    Entity Type          |    Individual 
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    Provider Name        |    YOAV GLIDAI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/25/2020
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    Last Update Date     |    08/21/2025
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Provider Practice Location Address
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    Address Line         |    600 NORTHERN BLVD STE 220 
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    City                 |    GREAT NECK
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    State                |    NY
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    Zip                  |    11021-5200
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    Country              |    US
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    Telephone            |    516-470-2020
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    600 NORTHERN BLVD STE 220 
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    City                 |    GREAT NECK
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    State                |    NY
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    Zip                  |    11021-5200
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    Country              |    US
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    Telephone            |    516-470-2020
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    1018568
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    338755
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    License Number State |    NY
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