NPI 1447689179
Vyacheslav Glukh
Practice location
- Address
- 31 Gwenn Loop, Staten Island, NY 10314-6401
- Phone
- (347) 733-1774
- Mailing address
- 8023 19th Ave APT 6j, Brooklyn, NY 11214-1740
Registered specialties
Single Specialty Group
Primary
Registry record
- NPI
- 1447689179
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Nov 2013
- Record last updated
- 1 Feb 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.