Active NPI
Yuliya Glazkova, NP
- Women's Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1902130974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 420936
- Practice address
- 1180 Brighton Beach Ave Ste 1
Brooklyn, NY 11235-5876 - Phone
- (718) 833-8777
- Fax
- (718) 646-8400
- NPI assigned
- Sep 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 420936 | NY | Primary |
Addresses
Primary practice location
1180 Brighton Beach Ave Ste 1
Brooklyn, NY 11235-5876
Mailing address
1180 Brighton Beach Ave Ste 1
Brooklyn, NY 11235-5876
Phone (718) 833-8777
Other practice location 1
66 Brinkerhoff St
Plattsburgh, NY 12901-2919
Phone (518) 561-4430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 420936 | NY | MD | Women's Health Nurse Practitioner |
Interoperability endpoints
- yuliya.glazkova.1@18692.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1902130974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 BRIGHTON BEACH AVE STE 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355876",
"telephone_number": "718-833-8777",
"fax_number": "718-646-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 BRIGHTON BEACH AVE STE 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355876",
"telephone_number": "718-833-8777",
"fax_number": "718-646-8400"
}
],
"practiceLocations": [
{
"address_1": "66 Brinkerhoff St",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129012919",
"country_code": "US",
"telephone_number": "518-561-4430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLAZKOVA",
"first_name": "YULIYA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "420936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.