Jeffery, Glenn Reginald

Jeffery, Glenn Reginald is an individual health care provider with primary practice located at 25 Allen Street Lower East Side Harm Reduction Center, New York NY 10002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jeffery, Glenn Reginald can be contacted via phone (212) 266-6333.

Contact Information

Primary practice address
25 Allen Street Lower East Side Harm Reduction Center New York NY 10002
Phone: (212) 266-6333
Fax: (212) 343-8005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 187649 New York

Profile Details

NPI number 1841381373
LBN Legal business name Jeffery, Glenn Reginald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 21st, 2016 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841381373 NPPES
New York MEDICAID 00246075

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