Brighton Medical Plaza PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

143924 Issued in NY

Legal business name

BRIGHTON MEDICAL PLAZA PC

Practice address

4902 Queens Blvd
Woodside, NY 11377-4444

Phone

(718) 424-4344

Fax

(718) 424-4348

NPI assigned

Mar 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Luis Glodowski, M.D.

Title

President

Phone

(718) 424-4344

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1417197542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774444",
            "telephone_number": "718-424-4344",
            "fax_number": "718-424-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774444",
            "telephone_number": "718-424-4344",
            "fax_number": "718-424-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON MEDICAL PLAZA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "GLODOWSKI",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-424-4344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "143924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Beth Breitstone
• Tara Brennan, OTR/L
• William Brennan, PHD
• Theresa Brereton, MS,RD,CDN,CDE
• Nicole Brezel, LMSW, PSYD
• Besa Brija
• Evelyn Brobbey, GNP
• Bjorn G Brogle, LMSW
• David Aaron Brown, LMSW
• Wendy Cesarina Brown, LCSW

• Cardiovascular Disease Physician in Woodside, NY
• Providers in Woodside, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.