Individual
GLADE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220
(718) 630-7000
Mailing address
625 LINCOLN PL # 2, BROOKLYN, NY 11216-4141
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
9939
AZ
390200000X
Student in an Organized Health Care Education/Training Program
P97309
NY
Other
Enumeration date
02/06/2016
Last updated
05/16/2018
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