Provider Demographics
NPI:1154852101
Name:GLAZMAN-KUCZAJ, GALINA (MD)
Entity Type:Individual
Prefix:
First Name:GALINA
Middle Name:
Last Name:GLAZMAN-KUCZAJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GALINA
Other - Middle Name:
Other - Last Name:GLAZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:47 NEW SCOTLAND AVENUE
Mailing Address - Street 2:PULMONARY OFFICE
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:47 NEW SCOTLAND AVENUE
Practice Address - Street 2:PULMONARY OFFICE
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-262-5196
Practice Address - Fax:718-920-8375
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318384-01207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine