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Individual

CLIFFORD GLATZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
512 ALBOURNE AVE, STATEN ISLAND, NY 10309-2958
(718) 967-9799

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
132236-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01064575
NY
Enumeration date
08/11/2006
Last updated
07/08/2007
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