| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GLENN GOLDFARB | 1841375482 | 2024-07-05 |
Glenn Goldfarb is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841375482. Registration indicates Glenn Goldfarb is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, ) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
| Entity Type | Individual |
| Provider Name | Dr. Glenn Goldfarb DDS |
| Practice Office Address | 73 RUMFORD RD KINGS PARK, NY US |
| Practice Office Telephone | 6312655444 |
| Practice Office Fax | 6312655444 |
| Mailing Address | 73 RUMFORD RD KINGS PARK, NY 117544115 US |
| Business Telephone | 6312655444 |
| Business Fax | 6312655444 |
| Code | Practice | License No State |
|---|---|---|
| 1223G0001X | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 043385
NY |
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 043385
NY |