Provider Demographics
NPI:1730253238
Name:GLAUBERMAN, LLOYD AARON (PHD)
Entity type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:AARON
Last Name:GLAUBERMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 WEST 86TH ST
Mailing Address - Street 2:NUMBER 1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024
Mailing Address - Country:US
Mailing Address - Phone:212-787-8956
Mailing Address - Fax:212-289-6082
Practice Address - Street 1:30 WEST 86TH ST
Practice Address - Street 2:NUMBER 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:212-787-8956
Practice Address - Fax:212-289-6082
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0059641103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01162261Medicaid
NY01162261Medicaid