Organization
GLORY FAVOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILOMENE GOUELIANI (OWNER)
(718) 838-8362
Entity
Organization
Contact information
Practice address
1461 E 103RD ST, BROOKLYN, NY 11236-4513
(718) 838-8362
Mailing address
1805 PITKIN AVE, BROOKLYN, NY 11212-7831
(718) 750-3406
(718) 750-3406
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
10/29/2025
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