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Individual

DR. MARK GLADSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2076 E 13TH ST, BROOKLYN, NY 11229-3304
(718) 382-7900
(718) 382-7901
Mailing address
2076 E 13TH ST, BROOKLYN, NY 11229-3304
(718) 382-7900
(718) 382-7901

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
205366
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
205366
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02078962
NY
Enumeration date
05/11/2006
Last updated
01/20/2012
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