Individual
MARK GLOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11915 ROCKAWAY BEACH BLVD, ROCKAWAY PARK, NY 11694-1970
(718) 634-3211
(718) 634-0926
Mailing address
11915 ROCKAWAY BEACH BLVD, ROCKAWAY PARK, NY 11694-1970
(718) 634-3211
(718) 634-0926
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
007459
NY
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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