Individual
DR. GLENN J MURACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8616 JAMAICA AVE, WOODHAVEN, NY 11421-2042
(718) 805-0037
(718) 849-3737
Mailing address
8616 JAMAICA AVE, WOODHAVEN, NY 11421-2042
(718) 805-0037
(718) 849-3737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
187642
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01522072
—
NY
Enumeration date
08/31/2006
Last updated
05/12/2017
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