Provider Demographics
NPI:1265005359
Name:E MCGLAMERY, BARBARA (LCAT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:E MCGLAMERY
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 FREEMAN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-5891
Mailing Address - Country:US
Mailing Address - Phone:917-974-8455
Mailing Address - Fax:
Practice Address - Street 1:37 GREENPOINT AVE STE 403
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-1545
Practice Address - Country:US
Practice Address - Phone:929-324-6132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002403