Individual
DR. KYLE JORDAN GLITHERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
297239
NY
2086S0120X
Pediatric Surgery Physician
297239
NY
Other
Enumeration date
04/06/2011
Last updated
12/08/2025
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