Individual
DR. GLENN D BABUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1099 TARGEE ST, STATEN ISLAND, NY 10304
(718) 448-3210
(718) 984-2642
Mailing address
2535 ARTHUR KILL RD, STATEN ISLAND, NY 10309-1207
(718) 448-3210
(718) 984-2642
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
0102201908
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
228217-1
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MB09495900
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
DO0000002111
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
H0073176
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
J0434
TX
Other
Enumeration date
11/09/2005
Last updated
01/09/2019
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