Individual
NATALIYA GLAZKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
73 HOOPER ST APT A6, PORT JEFFERSON STATION, NY 11776-3719
(646) 270-9165
Mailing address
73 HOOPER ST, PORT JEFFERSON STATION, NY 11776-3719
(646) 270-9165
(347) 710-1002
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
647211
NY
Other
Enumeration date
11/15/2012
Last updated
04/09/2021
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