Glass, David
Glass, David is an individual health care provider with primary practice located at 85 W Burnside Ave , Bronx NY 10453-4015. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Glass, David can be contacted via phone (718) 716-4400.Contact Information
Primary practice address
85 W Burnside Ave
Bronx NY 10453-4015
Phone: (718) 716-4400
Fax: (718) 228-7471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R034733-1 | New York |
Profile Details
| NPI number | 1104885896 |
|---|---|
| LBN Legal business name | Glass, David |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Aug 19th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104885896 | NPPES |
| New York | Other | 034733 | LICENSE# |
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