Individual
MR. MICHAEL JOHN GLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2402 E 63RD ST, BROOKLYN, NY 11234-6705
(718) 344-5137
Mailing address
2402 E 63RD ST, BROOKLYN, NY 11234-6705
(718) 344-5137
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011924-1
NY
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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