Individual
DR. ELISSA R GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., PSY.D.
Contact information
Practice address
887 E NEW YORK AVE, BROOKLYN, NY 11203-1309
(718) 778-0485
(718) 778-1375
Mailing address
14102 JEWEL AVE, FLUSHING, NY 11367-1618
(773) 263-7877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NONE
NY
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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