Provider Demographics
NPI:1215651203
Name:GLEYZER, YELENA (PHARMD)
Entity type:Individual
Prefix:
First Name:YELENA
Middle Name:
Last Name:GLEYZER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 E 14TH ST STE 401
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1112
Mailing Address - Country:US
Mailing Address - Phone:718-382-8500
Mailing Address - Fax:
Practice Address - Street 1:1660 E 14TH ST STE 401
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1112
Practice Address - Country:US
Practice Address - Phone:718-382-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0477561835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835X0200XPharmacy Service ProvidersPharmacistOncologyGroup - Single Specialty