Glazer, Justin Ryan

Glazer, Justin Ryan is an sole proprietor health care provider with primary practice located at 930 N Broadway , Massapequa NY 11758-2394. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Glazer, Justin Ryan can be contacted via phone (516) 541-2400.

Contact Information

Primary practice address
930 N Broadway Massapequa NY 11758-2394
Phone: (516) 541-2400
Fax: (516) 308-3812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 053413 New York

Profile Details

NPI number 1912156241
LBN Legal business name Glazer, Justin Ryan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2008
Last updated Apr 24th, 2024 - about 7 months 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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