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NPI Code Detail

MEDICARE: PATRICIA GLASGOW

MEDICARE:   PATRICIA  GLASGOW
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
1164W00000XLicensed Practical Nurse261748-1NY

General Provider Information

NPI Number : 1841767902
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA GLASGOW
Provider Business Mailing Address
First Line : 3902 AVENUE J
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4438
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3902 AVENUE J
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4438
Country : US
Telephone Number : 718-692-0437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2018
Last Update Date : 10/26/2018

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Directions to “ PATRICIA GLASGOW ” Practice Location

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