Brooke Glanzman, MMS, PA-C
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1194358036
StatusActive
Last updated in NPPESOct 26, 2023
Details
- NPI
- 1194358036
- Entity type
- Individual (NPI-1)
- Name
- Brooke Glanzman
- Credential
- MMS, PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2020
- Certification date
- Oct 26, 2023
- Last updated
- Oct 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
535 E 70th StNew York, NY 10021-4898
Phone 317-753-7774
Mailing address
10672 Knight DrCarmel, IN 46032-9476
Phone 317-753-7774
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