Individual
DR. BONNIE S. GLASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
11027 72ND DR, FOREST HILLS, NY 11375-5513
(718) 261-1166
(718) 261-1762
Mailing address
PO BOX 750426, 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
—
BG0X411110
BLUE CROSS
NY
01
—
PI962246
OXFORD
NY
01
—
X005691
STATE LICENSE
NY
Enumeration date
06/30/2006
Last updated
07/08/2007
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