Organization
GLENN A BROTTMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN ANDREW BROTTMAN MD (OWNER)
(212) 969-1899
Entity
Organization
Contact information
Practice address
119 WEST 57TH STREET, SUITE 1101, NEW YORK, NY 10019
(212) 969-1899
(212) 969-1898
Mailing address
119 WEST 57TH STREET, SUITE 1101, NEW YORK, NY 10019
(212) 969-1899
(212) 969-1898
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
240287
NY
2084P0800X
Psychiatry Physician
Primary
240287
NY
Other
Enumeration date
09/26/2008
Last updated
03/04/2009
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