Glaser, Joseph Ezra

Glaser, Joseph Ezra is an sole proprietor health care provider with primary practice located at 707 E Main St , Middletown NY 10940-2650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Glaser, Joseph Ezra can be contacted via phone (845) 343-0616.

Contact Information

Primary practice address
707 E Main St Middletown NY 10940-2650
Fax: (845) 343-0617
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 255301 New York

Profile Details

NPI number 1861772436
LBN Legal business name Glaser, Joseph Ezra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2011
Last updated Feb 14th, 2017 - about 8 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 1861772436 NPPES
New York MEDICAID 03427209

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