Provider Demographics
NPI:1033205422
Name:GLAUBERSON, DALIA (LCSWR)
Entity Type:Individual
Prefix:MRS
First Name:DALIA
Middle Name:
Last Name:GLAUBERSON
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 DUMONT PL
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3122
Mailing Address - Country:US
Mailing Address - Phone:171-899-8323
Mailing Address - Fax:
Practice Address - Street 1:938 KINGS HWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2338
Practice Address - Country:US
Practice Address - Phone:718-998-3235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0576131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNY1951Medicare ID - Type Unspecified