MR. Earl Gordon Glucksman, P.T.

NPI #1104155100 in Setauket, New York

Provider Information

NPI Number: 1104155100
Entity Type: Individual
Name: MR. Earl Gordon Glucksman, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Dec 22, 2009
Last Updated: Dec 22, 2009

Practice Location

Address: 1 MARCY CT
City: Setauket
State: New York
ZIP Code: 11733-1942
Phone: (631) 689-1678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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