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Organization
GLASS PODIATRIC FOOT OBS, PC
Active
Organization
GLASS PODIATRIC FOOT OBS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW GLASS DPM (MEDICAL DIRECTOR)
(212) 867-2500
Entity
Organization
Contact information
Practice address
315 MADISON AVE, SUITE 2301, NEW YORK, NY 10017-5405
(212) 867-2500
(212) 867-3845
Mailing address
315 MADISON AVE, SUITE 2301, NEW YORK, NY 10017-5405
(212) 867-2500
(212) 867-3845
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006132
NY
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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