Provider Demographics
NPI:1750613121
Name:SCHABEL, GLENN (RPH)
Entity type:Individual
Prefix:MR
First Name:GLENN
Middle Name:
Last Name:SCHABEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 WEINMANN BLVD
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4139
Mailing Address - Country:US
Mailing Address - Phone:631-392-8815
Mailing Address - Fax:781-240-6464
Practice Address - Street 1:1660 WALT WHITMAN RD.
Practice Address - Street 2:STE. 105
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-4160
Practice Address - Country:US
Practice Address - Phone:631-392-8815
Practice Address - Fax:781-240-6464
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY36226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist