Individual
MR. MICHAEL WARREN GLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004412
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00441268
HIP
—
01
—
1053460
BEACON
—
01
—
147475
VALUE OPTIONS
—
01
—
A2367
LOCAL 1199
—
01
—
P821454
OXFORD
—
01
—
V1849
EMPIRE
—
01
—
VF037
EMPIRE
—
Enumeration date
10/23/2006
Last updated
07/08/2007
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