Individual
MICHAEL GLAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CASAC-T
Contact information
Practice address
255 AVENUE W, BROOKLYN, NY 11223-5202
(866) 569-7233
(718) 336-6815
Mailing address
PO BOX 230060, BROOKLYN, NY 11223-0060
(866) 569-7233
(718) 336-6815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
25563
NY
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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