MEDICARE: NICOLE GLAZEBROOK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	020311	NY

General Provider Information

NPI Number	:	1184932543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE GLAZEBROOK

Provider Business Mailing Address
First Line	:	141 JORALEMON ST
Second Line	:	4A
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4071
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	670 PARKSIDE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-1506
Country	:	US
Telephone Number	:	718-675-1249
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2010
Last Update Date	:	09/20/2010

Similar Medicare Providers

1548192446 — LASANTE HEALTH CENTER INC
Practice Location Address:

646 PARKSIDE AVE
BROOKLYN, NY
11226-1506

Practice Phone: 718-246-5700
Practice Fax:

1659023950 — SARAH VAYNMAN-KRIEGER LMSW
Practice Location Address:

672 PARKSIDE AVE , 2ND FLOOR
BROOKLYN, NY
11226-1506

Practice Phone: 718-246-5700
Practice Fax:

1003124470 — MS. SUSAN DEBRA ISAACS OTR/L
Practice Location Address:

670 PARKSIDE AVE
BROOKLYN, NY
11226-1506

Practice Phone: 718-675-1249
Practice Fax: 718-675-1264

1700195492 — SAMANTHA HAYLEY COTUGNO M.S., CCC-SLP
Practice Location Address:

670 PARKSIDE AVE.
BROOKLYN, NY
11226-1506

Practice Phone: 718-675-1249
Practice Fax:

1255641270 — THE RESEARCH FOUNDATION SUNY DOWNSTATE
Practice Location Address:

670 PARKSIDE AVE
BROOKLYN, NY
11226-1506

Practice Phone: 718-270-2598
Practice Fax:

1750681946 — MS. GAILLENA MCCOY P.T
Practice Location Address:

670 PARKSIDE AVE
BROOKLYN, NY
11226-1506

Practice Phone: 718-675-1249
Practice Fax: 718-675-1264

Directions to “ NICOLE GLAZEBROOK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.