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Individual
KENNETH I GLASSBERG
Active
Individual
KENNETH I GLASSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
110936
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00198536
—
NY
01
—
0043642
GHI
NY
01
—
0604219
CIGNA
NY
01
—
110936
HIP
NY
01
—
20631247
BEECHSTREET
NY
01
—
3S8981
EBCBS
NY
01
—
4250348
AETNA PPO
NY
01
—
668248
AETNA
NY
01
—
69990
UNHC
NY
01
—
HEALTHNET
HEALTHNET
NY
01
—
KS573
OXFORD
NY
Enumeration date
01/23/2007
Last updated
07/08/2007
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