Individual
BARRY D GLAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2271 RICHMOND AVE, STATEN ISLAND, NY 10314-3903
(718) 698-0500
(718) 370-0590
Mailing address
11 WELLINGTON CT, STATEN ISLAND, NY 10314-7839
(718) 494-8350
(718) 494-8350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033316
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01921791
—
NY
Enumeration date
11/20/2007
Last updated
11/20/2007
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