Provider Demographics
NPI:1194021675
Name:GLAVIN, ERIN (HHA)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:GLAVIN
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 ALDER ST
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-5055
Mailing Address - Country:US
Mailing Address - Phone:315-530-5402
Mailing Address - Fax:
Practice Address - Street 1:106 ALDER ST
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088-5055
Practice Address - Country:US
Practice Address - Phone:315-530-5402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide