Provider Demographics
NPI:1609102896
Name:GLOTTAL ENTERPRISES
Entity Type:Organization
Organization Name:GLOTTAL ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP MARKETING AND SALES
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROTHENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-422-1213
Mailing Address - Street 1:1201 E FAYETTE ST
Mailing Address - Street 2:SUITE #15
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-1953
Mailing Address - Country:US
Mailing Address - Phone:315-422-1213
Mailing Address - Fax:315-422-1216
Practice Address - Street 1:1201 E FAYETTE ST
Practice Address - Street 2:SUITE #15
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1953
Practice Address - Country:US
Practice Address - Phone:315-422-1213
Practice Address - Fax:315-422-1216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies