Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 258876-1 | NY |
NPI | 1356596787 |
---|---|
Provider Name | Dr. Paul Andrew Glare |
First Address | New York, NY 10065-7918 |
Second Address | New York, NY 10065-6007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2008 |
Last Update Date | 19/11/2010 |