Provider Demographics
NPI:1396891644
Name:GLESBY, MARSHALL JAY (MD)
Entity type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:JAY
Last Name:GLESBY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:BAKER 24
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-7134
Mailing Address - Fax:212-746-8852
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:BAKER 24
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4870
Practice Address - Country:US
Practice Address - Phone:212-746-7134
Practice Address - Fax:212-746-8852
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2023-07-06
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Provider Licenses
StateLicense IDTaxonomies
NY209163207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG89228Medicare UPIN