NPI 1396464095

Glenn Richard Paul

Practitioner Orthotist Huntington Station, NY

Practice location

Address: 616 E Jericho Tpke, Huntington Station, NY 11746-7317
Phone: (631) 271-0825
Mailing address: 197 Hosmer Ave, Bronx, NY 10465-3132

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1396464095
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2022
Record last updated: 25 Aug 2022

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.