Individual
MR. GLEN JOSEPH SANTACROCE
Active
Individual
MR. GLEN JOSEPH SANTACROCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L, CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009374-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000695401
EMBLEM HEALTH/GHI HMO
NY
01
—
0000299267411
UNITED HEALTHCARE- OPTUM HEALTHCARE SOLUTIONS, INC.
NY
05
—
03164830
—
NY
05
—
03282455
—
NY
01
—
0401995
CIGNA-ORTHONET
NY
01
—
123832P
HIP-EMBLEM HEALTH
NY
01
—
1729949
EMBLEM HEALTH-GHI PPO
NY
01
—
201116700038
AFFINITY HEALTH PLAN
NY
01
—
401995
AETNA-ORTHONET
NY
01
—
61630500
FECA/OFFICE OF WORKERS COMPENSATION PROGRAM
—
01
—
9830612
AETNA LOCAL 1199
NY
01
—
P01164884
MVP HEALTH PLAN
NY
01
—
P4162451
OXFORD FREEDOM/LIBERTY NETWORK OPTUM HEALTHCARE SOLUTIONS, INC.
NY
01
—
QV7681
EMPIRE BLUE CROSS
NY
Enumeration date
07/30/2009
Last updated
11/06/2014
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