Most Relevant Information
Provider Data
| NPI Number: | 1003020033 |
| Provider Name: | GLENN MANCHER M.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 011955 |
Most Important Dates
| Enumeration Date: | 05/09/2007 |
| Last Updated: | 11/09/2009 |
Provider Practice Location
2501 86TH ST
BROOKLYN
NY
112144414
Practice Location Phone/Fax
| Phone: | 7183332500 |
| Fax: | 7183332835 |
Provider Mailing Location
2501 86TH ST
BROOKLYN
NY
112144414
Provider Mailing Phone/Fax
| Phone: | 7183332500 |
| Fax: | 7183332835 |