Individual
ANGELA GLASSCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 NORTH PORTLAND AVENUE, CUMBERLAND DIAGNOSTIC & TREATMENT CENTER, BROOKLYN, NY 11205
(718) 260-7500
(718) 630-3122
Mailing address
760 BROADWAY, DEPARTMENT OF PEDIATRICS 2B321, WOODHULL MEDICAL & MENTAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8214
(718) 630-3122
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380947
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
10/02/2006
Last updated
04/27/2015
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