Individual
DR. GLENN A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7558 113TH ST STE 1A, FOREST HILLS, NY 11375-7229
(718) 268-2044
Mailing address
7558 113TH ST STE 1A, FOREST HILLS, NY 11375-7229
(718) 268-2044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
163187
NY
Other
Enumeration date
06/27/2006
Last updated
10/17/2018
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