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Tara Glenn
NPI 1245591072 · on the registry since 2012
Practice
- Address
- 34 Winding Path
Apartment 4
Manorville, NY 11949 - Phone
- (631) 848-6336
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 174400000X
174400000X
174400000X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York