Organization
NOAM GLASER, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOAM GLASER M.D. (PRESIDENT)
(516) 799-0210
Entity
Organization
Contact information
Practice address
727 N BROADWAY, MASSAPEQUA, NY 11758-2348
(516) 799-0210
(516) 799-0247
Mailing address
727 N BROADWAY, SUITE C2, MASSAPEQUA, NY 11758-2348
(516) 799-0210
(516) 799-0247
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
05/10/2007
Last updated
08/21/2020
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