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General NPI Number Information
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NPI Number | 1699835751
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Entity Type | Organization
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Legal Business Name | GLENN SCHROYER, MD PLLC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1785 MILITARY TPKE SUITE 14
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City | PLATTSBURGH
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State | NY
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Zip | 12901-7704
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Country | US
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Telephone | 518-562-2009
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Fax | 518-562-2119
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Provider Business Mailing Address
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Address Line | 20 GLEN DR STE 2
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City | PLATTSBURGH
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State | NY
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Zip | 12901-2237
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Country | US
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Telephone | 518-562-2009
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Fax | 518-562-2119
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Authorized Official
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Title or Position | MD
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Name | DR. GLENN S SCHROYER
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Credential | M.D.
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Telephone | 518-562-2009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 187467
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License Number State | NY
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