Glassmith, Jerome B

Glassmith, Jerome B is an individual health care provider with primary practice located at 4105 31St Avenue , Astoria NY 11103-3462. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Glassmith, Jerome B can be contacted via phone (718) 278-8020.

Contact Information

Primary practice address
4105 31St Avenue Astoria NY 11103-3462
Phone: (718) 278-8020
Fax: (718) 278-8599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2400 New York

Profile Details

NPI number 1396874343
LBN Legal business name Glassmith, Jerome B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 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 1396874343 NPPES
New York MEDICAID 1101493690
New York Other ACCESS 931365
New York Other P62577571
New York Other 002400A39
New York Other 825983
New York Other P030002400NY01
New York Other P463339
New York Other 177233
New York Other 24409
New York Other 36528P
New York Other 4809110772
New York Other 4C4625
New York Other 1870
New York Other GJ2400
New York Other P27721
New York Other 0086040

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