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)
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.