Doctor Name: | MR. ANDREW KENJI GLATTERMAN |
NPI Number: | 1619224128 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. |
License Number: | 591504121 |
Business Practice Address: | 20 Cedar St Suite 302 New Rochelle, NY - 108015247 |
Business Phone Number: | 9145765292 |
Business Fax Number: | 9145763983 |
Mailing Address: | 3272 Radio Dr, BRONX |
State: | NY |
Postal Code: | 104651204 |
Phone Number: | 9179230751 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2012 |
NPI Last Update Date: | 08/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 591504121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |