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Individual
DR. RONNI GLASS
Active
Individual
DR. RONNI GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
001321-1
NY
235Z00000X
Speech-Language Pathologist
Primary
010958-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03664495
—
NY
Enumeration date
11/20/2008
Last updated
01/06/2017
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