Individual provider · Type 1 NPI

Glenn Burgess Ii

Specialist · Westbury, NY

NPI number 1609789510 Active

Practice location

1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156

Call (347) 939-4840 Map

Mailing address

5 Middlebranch Ln
Brewster, NY 10509-2536

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1609789510

Glenn Burgess Ii's National Provider Identifier is 1609789510, issued on Sep 23, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Westbury, NY. The record was last updated on Sep 23, 2026.