Individual
DR. GLENN ERIC MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 W 67TH ST, NEW YORK, NY 10023-5923
(917) 494-4871
Mailing address
145 W 67TH ST, NEW YORK, NY 10023-5923
(917) 494-4871
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
250778
NY
207LP3000X
Pediatric Anesthesiology Physician
250778
NY
Other
Enumeration date
08/11/2007
Last updated
08/02/2024
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