Doctor Name: | MR. GLENN TORRE BROWN |
NPI Number: | 1023235843 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 075195 |
Business Practice Address: | 1225 Franklin Ave Suite 325 Garden City, NY - 115301691 |
Business Phone Number: | 5166163033 |
Business Fax Number: | 5168738881 |
Mailing Address: | Po Box 572, EAST NORTHPORT |
State: | NY |
Postal Code: | 117310479 |
Phone Number: | 5166163033 |
Fax Number: | 5168738881 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 075195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |