Individual
MR. MICHAEL WARREN GLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3594 EAST TREMONT AVENUE, SUITE 210, BRONX, NY 10465-2032
(718) 792-4178
(718) 792-2496
Mailing address
3594 EAST TREMONT AVENUE, SUITE 210, BRONX, NY 10465-2032
(718) 792-4178
(718) 792-2496
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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