Individual
DR. GLENN BACHRACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
4305 AVENUE J, SUITE 1, BROOKLYN, NY 11210-4445
(347) 624-0637
Mailing address
4305 AVENUE J, SUITE 1, BROOKLYN, NY 11210-4445
(347) 624-0637
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
N/A
NY
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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