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NPI Code Detail

MEDICARE: MR. MICHAEL GLEIT R.PH.

MEDICARE:  MR. MICHAEL  GLEIT  R.PH.
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
1183500000XPharmacist029181NY

General Provider Information

NPI Number : 1699868935
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL GLEIT R.PH.
Provider Business Mailing Address
First Line : 147 JAFFREY ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-3022
Country : US
Telephone Number : 917-686-1161
Fax Number : 718-391-0094
Provider Business Practice Location Address
First Line : 3950 CRESCENT ST
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-3802
Country : US
Telephone Number : 718-247-4630
Fax Number : 718-391-0094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2006
Last Update Date : 07/08/2007

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Directions to “ MR. MICHAEL GLEIT R.PH.” Practice Location

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