Individual
DR. GLENFORD DELACY NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 SOUTH RD, OYSTER BAY, NY 11771-1906
(516) 922-1056
Mailing address
8 SOUTH RD, OYSTER BAY, NY 11771-1906
(516) 922-1056
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
173410
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01586341
—
NY
Enumeration date
01/16/2007
Last updated
07/08/2007
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