Organization
GLORIMAR ATILES MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIMAR ATILES MD (OWNER MD)
(518) 525-5206
Entity
Organization
Contact information
Practice address
319 S MANNING BLVD, SUITE 304, ALBANY, NY 12208-1742
(518) 525-5206
(518) 525-5209
Mailing address
PO BOX 194, ALBANY, NY 12201-0194
(518) 525-5206
(518) 525-5209
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02748112
—
NY
Enumeration date
05/28/2008
Last updated
05/11/2011
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