Individual
DR. GLEN MICHAEL CHERNACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
176 N WASHINGTON ST, SLEEPY HOLLOW, NY 10591-2606
(718) 813-8696
Mailing address
176 N WASHINGTON ST, SLEEPY HOLLOW, NY 10591-2606
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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