Brooks, Glen
Brooks, Glen is an sole proprietor health care provider with primary practice located at 80 Maiden Ln Suite 703, New York NY 10038-4811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Brooks, Glen can be contacted via phone (917) 261-7370.Contact Information
Primary practice address
80 Maiden Ln Suite 703
New York NY 10038-4811
Phone: (917) 261-7370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 156876 | New York |
Profile Details
| NPI number | 1649276445 |
|---|---|
| LBN Legal business name | Brooks, Glen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jan 13th, 2015 - about 9 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 | 1649276445 | NPPES |
| New York | MEDICAID | 00835552 |
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