Individual
MICHAEL GLADSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 HAWKINS AVE, LAKE RONKONKOMA, NY 11779-2324
(631) 737-0100
(631) 417-1117
Mailing address
2792 OCEAN AVE FL 2, BROOKLYN, NY 11229-4731
(833) 635-2566
(833) 635-2566
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
143678
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01850673
—
NY
Enumeration date
07/24/2006
Last updated
12/10/2025
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