NPI 1033975990

Russell Glover

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Pleasantville, NY

Practice location

Address: 1075 Broadway, Pleasantville, NY 10570-2346
Phone: (914) 563-2134

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in New York →

Registry record

NPI: 1033975990
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2024
Record last updated: 27 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.