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ROME MEDICAL PRACTICE NPI 1861750010


NPI Information

NPI: 1861750010
Provider Name: ROME MEDICAL PRACTICE

Doing Business As: DR. GLADY JACOB MD

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
267 HILL RD
SUITE 100
ROME, NY
ZIP 13441
Phone: (315) 356-7380
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ROME MEDICAL PRACTICE is a neurology psychiatry neurology in Rome, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ROME MEDICAL PRACTICE NPI is 1861750010. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dr. Glady Jacob Md.

The provider's business location address is:

267 HILL RD
SUITE 100
ROME, NY
ZIP 13441-203
Phone: (315) 356-7380
Fax: (315) 356-7386

The provider's authorized official is Saltzgaber Lee .
The authorized official title is President and has the following contact phone number (315) 338-7232.

The enumeration date for this NPI number is 4/25/2012 and was last updated on 3/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0600XPsychiatry & NeurologyClinical Neurophysiology003788-1NEW YORKNo
22084N0400XPsychiatry & NeurologyNeurology003788-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BA0788MEDICARE UPINNEW YORK
202735037MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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