Individual
MR. BRIAN KEITH GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3620 HARLEM RD STE 2, CHEEKTOWAGA, NY 14215-2042
(716) 446-9500
(716) 446-9501
Mailing address
3620 HARLEM RD STE 2, CHEEKTOWAGA, NY 14215-2042
(716) 446-9500
(716) 446-9501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
022612
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000626742002
BC/BS
NY
05
—
02167366
—
NY
01
—
P00173532
RR MEDICARE/PALMETTO GBA
—
Enumeration date
08/17/2005
Last updated
09/12/2016
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