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MR. GLEN JOSEPH SANTACROCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L, CHT

Contact information

Practice address
115 MAIN ST, SUITE 202 2ND FLOOR, TUCKAHOE, NY 10707-2948
(914) 961-1010
(914) 961-1011
Mailing address
115 MAIN ST, SUITE 202 2ND FLOOR, TUCKAHOE, NY 10707-2948
(914) 961-1010
(914) 961-1011

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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