Individual provider · Type 1 NPI

Glenn W. Jelks, MD

Specialist · New York, NY

NPI number 1043362957 Active

Practice location

875 Park Ave
New York, NY 10075-0382

Call (212) 988-3303 Map

Fax (212) 988-7984

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X134137 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1043362957

Glenn W. Jelks, MD's National Provider Identifier is 1043362957, issued on Jan 18, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Feb 8, 2010.