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Individual

MS. SUSAN L. GLODSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
17 E CARVER ST, HUNTINGTON, NY 11743-3409
(516) 581-1476
Mailing address
PO BOX 745, JERICHO, NY 11753-0745
(516) 581-1476

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
406019-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
400335
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400335-1
NY

Other

Enumeration date
09/10/2008
Last updated
11/15/2021
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