| Glenn A Brottman Md Pc | |
|
119 West 57th Street Suite 1101 New York NY 10019 | |
| (212) 969-1899 | |
| (212) 969-1898 |
| Full Name | Glenn A Brottman Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 119 West 57th Street, New York, New York |
| Authorized Official Name and Position | Glenn Andrew Brottman (OWNER) |
| Authorized Official Contact | 2129691899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn A Brottman Md Pc 119 West 57th Street Suite 1101 New York NY 10019 Ph: (212) 969-1899 | Glenn A Brottman Md Pc 119 West 57th Street Suite 1101 New York NY 10019 Ph: (212) 969-1899 |
| NPI Number | 1104076165 |
|---|---|
| Provider Enumeration Date | 09/26/2008 |
| Last Update Date | 03/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104076165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 240287 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 240287 (New York) | Primary |
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