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:
Health care specialties
| Specialty | Code | License # | 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 8 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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