Individual provider · Type 1 NPI

Glenn Glantz

Surgical Physician Assistant · Mineola, NY

NPI number 1972785129 Active

Practice location

259 1st St # GP4, Winthrop University Hospital - Tcv
Mineola, NY 11501-3957

Call (516) 663-9279 Map

Fax (516) 663-8288

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X008842-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1972785129

Glenn Glantz's National Provider Identifier is 1972785129, issued on Nov 29, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mineola, NY. The record was last updated on Nov 29, 2007.