Earl Gordon Glucksman, P.T.
Physical Therapist in Setauket, NY. Individual provider (NPI-1).
NPI number1104155100
StatusActive
Last updated in NPPESDec 22, 2009
Details
- NPI
- 1104155100
- Entity type
- Individual (NPI-1)
- Name
- Mr. Earl Gordon Glucksman
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 22, 2009
- Last updated
- Dec 22, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 6121 | NY | Yes |
Practice location
1 Marcy CtSetauket, NY 11733-1942
Phone 631-689-1678 · Fax 631-689-1678
Mailing address
1 Marcy CtSetauket, NY 11733-1942
Phone 631-689-1678 · Fax 631-689-1678
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Physical Therapist providers in Setauket · All 324 providers in Setauket
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