MEDICARE: ANDREW GLYPTIS, MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	199198	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386697043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREW GLYPTIS, MD, PC

Provider Business Mailing Address
First Line	:	PO BOX 167
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-0167
Country	:	US
Telephone Number	:	212-333-3347
Fax Number	:	212-262-5120

Provider Business Practice Location Address
First Line	:	330 W 58TH ST
Second Line	:	STE. 413
City	:	NEW YORK
State	:	NY
Zip	:	10019-1827
Country	:	US
Telephone Number	:	212-333-3347
Fax Number	:	212-262-5120

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANDREW GLYPTIS
Credential	:	MD
Telephone Number	:	212-333-3347

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	03/14/2014

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