Individual
DR. GARY GLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 ALEXANDER ST, SUITE 106, ROCHESTER, NY 14607-4008
(585) 546-1272
(585) 325-4443
Mailing address
220 ALEXANDER ST, SUITE 106, ROCHESTER, NY 14607-4008
(585) 546-1272
(585) 325-4443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
179413
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01748223
—
NY
01
—
101299BJ
PREFERRED CARE
NY
01
—
3185
BC/BS
NY
01
—
7624278
AETNA
NY
01
—
P010201380
BLUE CHOICE
NY
Enumeration date
07/26/2006
Last updated
04/07/2015
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