Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 298472 | NY |
NPI | 1033524780 |
---|---|
Provider Name | Dr. Lauren Gluck |
First Address | Bronx, NY 10461-2731 |
Second Address | Bronx, NY 10461-2731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2014 |
Last Update Date | 07/08/2019 |