Individual
GLENN DAVID GOODBINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
225 BROADWAY, MEZZANINE LEVEL, NEW YORK, NY 10007-3001
(212) 732-7400
(718) 942-1425
Mailing address
225 BROADWAY, MEZZANINE LEVEL, NEW YORK, NY 10007-3001
(212) 732-7400
(718) 942-1425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049736
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02736501
—
NY
Enumeration date
10/25/2006
Last updated
08/26/2013
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