Individual
MR. GLENN STUCKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
244 5TH AVE FL 10, NEW YORK, NY 10001-7932
(212) 228-7803
Mailing address
244 5TH AVE FL 10, NEW YORK, NY 10001-7932
(917) 655-5529
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001031
NY
Other
Enumeration date
09/04/2018
Last updated
12/06/2022
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