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NPI 1447689179

IndividualActive

Vyacheslav Glukh

NPI 1447689179 · Single Specialty Group · Staten Island, NY

Provider details

NPI number: 1447689179
Entity type: Individual
Primary specialty: Single Specialty GroupGroup
Sex: Male
Sole proprietor: Yes
License: 019190 (NY)

Practice location

31 Gwenn Loop

Staten Island, NY 10314-6401

Phone: (347) 733-1774

More NY providers

Mailing address

8023 19th Ave Apt 6j

Brooklyn, NY 11214-1740

Registry dates

Enumerated: 2013-11-04
Last updated: 2016-02-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Vyacheslav Glukh — NPI 1447689179, Staten Island, NY | NPI Central