Organization
ROME MEDICAL PRACTICE
Active
Parent organization
ROME MEDICAL PRACTICE
Other names
Dr. Glady Jacob MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROME MEDICAL PRACTICE
Authorized official
SALTZGABER LEE MD (PRESIDENT)
(315) 338-7232
Entity
Organization
Contact information
Practice address
267 HILL RD, SUITE 100, ROME, NY 13441-4203
(315) 356-7380
(315) 356-7386
Mailing address
245 HILL RD, ROME, NY 13441-4203
(315) 337-0429
(315) 356-0583
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
003788-1
NY
2084N0600X
Clinical Neurophysiology Physician
003788-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02735037
—
NY
Enumeration date
04/25/2012
Last updated
03/26/2013
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