Individual
MR. GLENN PETER STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4-74 48TH AVE, APT 19L, LONG ISLAND CITY, NY 11109-5615
(646) 662-9184
Mailing address
4-74 48TH AVE, APT 19L, LONG ISLAND CITY, NY 11109-5615
(646) 662-9184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007248
NY
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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