Individual
LAURA GLISKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
127 E 61ST ST # GF, NEW YORK, NY 10065-9006
(646) 418-4210
Mailing address
127 E 61ST ST # GF, NEW YORK, NY 10065-9006
(646) 418-4210
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310403
NY
Other
Enumeration date
08/23/2021
Last updated
09/26/2021
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