Individual
DR. MICHAEL GLEESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
355 EAST RIDGEWOOD AVENUE, PARAMUS, NJ 07652
(201) 343-6000
Mailing address
5 TREELINE TER, NYACK, NY 10960-4915
(845) 321-0498
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
022705-1
NY
171W00000X
Contractor
QA00813400
NJ
Other
Enumeration date
06/30/2006
Last updated
07/30/2013
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