Glover, Russell

Glover, Russell is an sole proprietor health care provider with primary practice located at 1075 Broadway , Pleasantville NY 10570-2346. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as his primary health care specialty. Glover, Russell can be contacted via phone (914) 563-2134.

Contact Information

Primary practice address
1075 Broadway Pleasantville NY 10570-2346
Phone: (914) 563-2134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1033975990
LBN Legal business name Glover, Russell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2024
Last updated Feb 27th, 2024 - about 9 months 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.

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