Glassberg, Glenne

Glassberg, Glenne is an sole proprietor health care provider with primary practice located at 1094 Fulton St , Woodmere NY 11598. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Glassberg, Glenne can be contacted via phone (570) 878-3642.

Contact Information

Primary practice address
1094 Fulton St Woodmere NY 11598
Phone: (570) 878-3642
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 86066215 New York
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 86066215 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86066215 New York

Profile Details

NPI number 1457845851
LBN Legal business name Glassberg, Glenne
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2018
Last updated Nov 8th, 2019 - about 5 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 1457845851 NPPES
New York MEDICAID 86066215

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