Glassman, Susan

Glassman, Susan is an sole proprietor health care provider with primary practice located at 16 Raymond Ave , Chestnut Ridge NY 10977-6307. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Glassman, Susan can be contacted via phone (845) 426-6746.

Contact Information

Primary practice address
16 Raymond Ave Chestnut Ridge NY 10977-6307
Fax: (845) 356-8705
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 002672-1 New York

Profile Details

NPI number 1992837140
LBN Legal business name Glassman, Susan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - 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 1992837140 NPPES
New York Other 040426011791 FIDELIS CARE

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