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NPI Code Detail

MEDICARE: ELAINE GLANTZ

MEDICARE: ELAINE GLANTZ
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
1101YP2500XProfessional CounselorP95902NY

General Provider Information

NPI Number : 1629433321
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE GLANTZ
Provider Business Mailing Address
First Line : 6023 FORT HAMILTON PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4814
Country : US
Telephone Number : 718-686-3400
Fax Number : 718-686-4400
Provider Business Practice Location Address
First Line : 6023 FORT HAMILTON PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4814
Country : US
Telephone Number : 718-686-3400
Fax Number : 718-686-4400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2015
Last Update Date : 12/22/2015

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Directions to “ ELAINE GLANTZ ” Practice Location

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