Provider Demographics
NPI:1235535410
Name:GLAUBER, CHRISTINA MARIE (NP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:GLAUBER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:MASTIC
Mailing Address - State:NY
Mailing Address - Zip Code:11950-1807
Mailing Address - Country:US
Mailing Address - Phone:631-444-8128
Mailing Address - Fax:631-337-4201
Practice Address - Street 1:101 NICHOLLS RD HSC LEVEL 3
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-1857
Practice Address - Country:US
Practice Address - Phone:631-444-7767
Practice Address - Fax:631-444-6199
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-14
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY689309-1163W00000X
NYF311297363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse