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Organization
BONNIE S. GLASSMAN DC PC
Active
Organization
BONNIE S. GLASSMAN DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE S. GLASSMAN DC (OWNER)
(718) 261-1166
Entity
Organization
Contact information
Practice address
11027 72ND DR, SUITE 1, FOREST HILLS, NY 11375-5513
(718) 261-1166
(718) 261-1762
Mailing address
PO BOX 750426, 110-27 72 DRIVE, FOREST HILLS, NY 11375-0426
(718) 261-1166
(718) 261-1762
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013488
GHI
NY
01
—
C05691-3
WCB
NY
01
—
X41111
BCBS
NY
Enumeration date
02/09/2007
Last updated
10/10/2007
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