Individual
MRS. CHAYA B GLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
14715 76TH AVE APT 1E, FLUSHING, NY 11367-3105
(732) 691-0539
Mailing address
14715 76TH AVE APT 1E, FLUSHING, NY 11367-3105
(732) 691-0539
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
899492
NY
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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