Individual
LORRAINE JANICE GLAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2308 30TH AVE, ASTORIA, NY 11102-3494
(718) 224-9094
(718) 313-0436
Mailing address
PO BOX 201, CROTON ON HUDSON, NY 10520-0201
(914) 739-2587
(914) 739-2587
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
235075-4
NY
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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