Individual
DR. GLENN MARK LOSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 EAST 9TH STREET, #16D, NEW YORK, NY 10003-5422
(917) 348-2090
Mailing address
115 EAST 9TH STREET, #16D, NEW YORK, NY 10003-5422
(917) 348-2090
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
NYS158505
NY
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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