Individual
MR. THOMAS A GLANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1869 BRENTWOOD RD, BRENTWOOD, NY 11717-4625
(631) 853-3401
Mailing address
1 DOVE PATH, CORAM, NY 11727-2157
(631) 474-0497
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003789
NY
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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