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
Phone: (845) 426-6746
Fax: (845) 356-8705
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992837140 | NPPES |
New York | Other | 040426011791 | FIDELIS CARE |
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