Glenn Sorrentino, DC | |
139 Fulton St Rm 700, New York, NY 10038-2533 | |
(212) 406-0134 | |
Not Available |
Full Name | Glenn Sorrentino |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 139 Fulton St Rm 700, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417989872 | NPI | - | NPPES |
GS0X0F8210 | Other | NY | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | X005012 (New York) | Primary |
Provider Name | C G Health & Wellness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285356766 PECOS PAC ID: 1557734456 Enrollment ID: O20230223001272 |
Mailing Address | Practice Location Address |
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Glenn Sorrentino, DC 25 Harrison Ct, West Paterson, NJ 07424-3411 Ph: () - | Glenn Sorrentino, DC 139 Fulton St Rm 700, New York, NY 10038-2533 Ph: (212) 406-0134 |
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