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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1851391163 NPPES
New York MEDICAID 00867643
New York MEDICAID 001242700

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