Bracken, Glen Torlece
Bracken, Glen Torlece is an sole proprietor health care provider with primary practice located at 2976 Northern Blvd , Long Island City NY 11101-2822. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Bracken, Glen Torlece can be contacted via phone (347) 510-3646.Contact Information
Primary practice address
2976 Northern Blvd
Long Island City NY 11101-2822
Phone: (347) 510-3646
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1922275965 |
|---|---|
| LBN Legal business name | Bracken, Glen Torlece |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2008 |
| Last updated | May 9th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922275965 | NPPES |
| New York | MEDICAID | 02740141 |
Popular Providers
-
Placido, Elizabeth J
36-36 33Rd Street Sutie 500, Long Island City NY 11106 -
Harrigan, Kenneth
2976 Northern Blvd , Long Island City NY 11101-2822 -
Mateo, William
2976 Northern Blvd , Long Island City NY 11101-2822 -
Zditowski, Michelle Janet
3636 33Rd St Suite 500, Long Island City NY 11106-2329 -
Tebout, Ray Ali
2976 Northern Blvd , Long Island City NY 11101-2822 -
Rios, Jose
2976 Northern Blvd , Long Island City NY 11101-2822 -
Archibald, Omar
2976 Northern Blvd , Long Island City NY 11101-2822 -
Hagan, Clyde
2976 Northern Blvd , Long Island City NY 11101-2822