Sharon J Glezen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

178405-7 Issued in NY

Practice address

250 Crittenden Blvd
Box 617
Rochester, NY 14642-8617

Phone

(585) 275-2662

Fax

(585) 276-0149

NPI assigned

Jul 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1629083365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CRITTENDEN BLVD",
            "address_2": "BOX 617",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146428617",
            "telephone_number": "585-275-2662",
            "fax_number": "585-276-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CRITTENDEN BLVD",
            "address_2": "BOX 617",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146428617",
            "telephone_number": "585-275-2662",
            "fax_number": "585-276-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEZEN",
        "first_name": "SHARON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "178405-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01485818",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Gleich
• Amanda Lynn Gleichauf
• Catina Richardsen Glenday, LMHC
• Chiya Lynette Glenn, LMHC
• Theresa Glessner, NP
• Joseph Glick, MD
• Glidedowan LLC
• Kimberley Anne Glise, M.S. CCC-SLP
• Megan Danielle Glise
• Roan Jamison Glocker, MD

• Internal Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.