# GLASS PODIATRIC FOOT OBS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467988774
- **Authorized official:** DR. ANDREW GLASS DPM (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 867-2500

## Contact information

- **Practice address:** 315 MADISON AVE, SUITE 2301, NEW YORK, NY 10017-5405
- **Practice address phone:** (212) 867-2500
- **Practice address fax:** (212) 867-3845
- **Mailing address:** 315 MADISON AVE, SUITE 2301, NEW YORK, NY 10017-5405
- **Mailing address phone:** (212) 867-2500
- **Mailing address fax:** (212) 867-3845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N006132 | NY | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/05/2017
- **Last updated:** 05/05/2017
