Glassman, Mark S
Glassman, Mark S is an individual health care provider with primary practice located at 19 Bradhurst Ave Ste 1400, Hawthorne NY 10532-2140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Glassman, Mark S can be contacted via phone (914) 594-4610.Contact Information
Primary practice address
19 Bradhurst Ave Ste 1400
Hawthorne NY 10532-2140
Phone: (914) 594-4610
Fax: (914) 594-4392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 157811 | New York |
Profile Details
| NPI number | 1851391163 |
|---|---|
| LBN Legal business name | Glassman, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Sep 26th, 2008 - about 18 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 | 1851391163 | NPPES |
| New York | MEDICAID | 00867643 | |
| New York | MEDICAID | 001242700 |
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