Matthew Gladle
NPI 1508295254 · on the registry since 2013 · sole proprietor
Practice
- Address
- 805 Caroline St
Ogdensburg, NY 13669 - Phone
- (315) 393-3999
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York