GLENN F. AGOLIATI (NPI# 1063580579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063580579 |
| Entity Type | Individual |
| Full Name | GLENN F. AGOLIATI |
| Credential | M.D. |
| Practice Address |
19 Baker Ave Suite 100 Poughkeepsie NY 12601-1359 |
| Practice Telephone | 8454541942 |
| Practice Fax Number | 8454524638 |
| Mailing Telephone | 8454541942 |
| Mailing Fax Number | 8454524638 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
141538 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
19 BAKER AVE SUITE 100 |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134128960 | Lewis J. Sims | Podiatrist | 19 Baker Ave, Ste 203, Poughkeepsie, NY 12601-1375 | 2005-07-14 |
| 1972896942 | Ganesh Krishna Chand Talasila | Pharmacist | 19 Baker Ave, Ste 207, Poughkeepsie, NY 12601 | 2011-05-24 |
| 1093034290 | Nidhee H Dubal | Podiatrist | 19 Baker Ave, Suite 302, Poughkeepsie, NY 12601-1359 | 2010-05-27 |
| 1619202397 | Rachel Snider | Physician Assistant | 19 Baker Ave, Poughkeepsie, NY 12601-1359 | 2009-10-13 |
| 1487845244 | Lev Davidson | Internal Medicine | 19 Baker Ave, Suite 100, Poughkeepsie, NY 12601-1359 | 2007-08-07 |
| 1831399252 | Erik Jon Sims | Podiatrist | 19 Baker Ave, Suite 203, Poughkeepsie, NY 12601-1375 | 2007-07-24 |
| 1700913738 | Mark C Watts | Neurological Surgery | 19 Baker Ave, Suite 301, Poughkeepsie, NY 12601-1359 | 2007-02-27 |
| 1194893727 | Michael J. Maresca | Internal Medicine | 19 Baker Ave, Suite 100, Poughkeepsie, NY 12601-1359 | 2006-12-01 |
| 1427126051 | Ponciano L. Reyes | Internal Medicine | 19 Baker Ave, Suite 100, Poughkeepsie, NY 12601-1359 | 2006-12-01 |
| 1205904828 | Ramamohana R. Kancherla | Internal Medicine | 19 Baker Ave, Suite 100, Poughkeepsie, NY 12601-1359 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295755262 | Leno Thomas | Internal Medicine | 19 Baker Avenue, Suite 100, Poughkeepsie, NY 12601-1375 | 2006-07-20 |
| 1477786036 | Dutchess Hematology/oncology,pllc | Internal Medicine | 45 Reade Pl, 3rd Floor-dyson Center, Poughkeepsie, NY 12601-3947 | 2009-08-31 |
| 1205007549 | Gingrich Oncology Pllc | Internal Medicine | 1 Webster Ave, Poughkeepsie, NY 12601-1361 | 2008-03-14 |
| 1487845244 | Lev Davidson | Internal Medicine | 19 Baker Ave, Suite 100, Poughkeepsie, NY 12601-1359 | 2007-08-07 |
| 1669693909 | Cancer Care of Poughkeepsie, LLP | Internal Medicine | 45 Reade Pl, Dyson Center 3rd Floor, Poughkeepsie, NY 12601-3947 | 2007-05-02 |
| 1457497554 | Ariel Fischer | Internal Medicine | 30 Columbia St, Poughkeepsie, NY 12601-3906 | 2007-01-29 |
| 1194893727 | Michael J. Maresca | Internal Medicine | 19 Baker Ave, Suite 100, Poughkeepsie, NY 12601-1359 | 2006-12-01 |
| 1427126051 | Ponciano L. Reyes | Internal Medicine | 19 Baker Ave, Suite 100, Poughkeepsie, NY 12601-1359 | 2006-12-01 |
| 1588732143 | Niloufer A. Rodrigues | Internal Medicine | 1 Webster Ave, Suite 502, Poughkeepsie, NY 12601-1361 | 2006-12-01 |
| 1205904828 | Ramamohana R. Kancherla | Internal Medicine | 19 Baker Ave, Suite 100, Poughkeepsie, NY 12601-1359 | 2006-12-01 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.