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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLENN W. JELKS, M.D.

Active

DR. GLENN W. JELKS, M.D. is a Specialist healthcare provider located in NEW YORK, New York. NPI 1043362957 is currently active in the NPPES registry. Verify at CMS.

Specialist · NEW YORK, NY

Registration Details

NPI Number
1043362957
Provider Type
Individual
Gender
Male
NPI Issued
Jan 18, 2007 (19.552797781623 yrs)
Last Updated
Feb 8, 2010
License
134137 (NY)

Practice Information

Address
875 PARK AVE
NEW YORK, NY, 100750382
Browse NY providers · Browse ZIP 10075
Phone
2129883303
Fax
2129887984
Primary Specialty
Specialist
174400000X

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MICHAEL A PALESE M.D. 1679576110
DR. TYLER S LUCAS M.D. 1497758734
DR. WILLIAM RUSSELL GRACE M.D. 1578565610
DR. EDMUND KAPLAN 1518961457
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.