Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN F THIBAULT, MD
ActiveGLENN F THIBAULT, MD is a Family Medicine healthcare provider located in PULASKI, New York. NPI 1699769364 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PULASKI, NY
Registration Details
- NPI Number
- 1699769364
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2005 (20.788361676997 yrs)
- Last Updated
- Jul 9, 2007
- License
-
220472 (NY)
Practice Information
- Address
-
61 DELANO STPULASKI, NY, 131421400Browse NY providers · Browse ZIP 13142
- Phone
- 3152986564
- Fax
- 3152987488
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PULASKI, NY
| Name | Credential | NPI |
|---|---|---|
| JAY W CHAPMAN | MD | 1205820313 |
| PATRICIA L CHAPMAN | MD | 1306830419 |
| DR. PATRICK J CARGUELLO | D.O. | 1821082009 |
| CHARLES C KIM | MD | 1548254022 |
| JAY FREDERICK SULLIVAN | MD | 1861426413 |
| AMANDA RAY | DO | 1366763872 |
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.