Organization
GREAT MEDICAL SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M. GLASS M.D. (OWNER)
(212) 791-3399
Entity
Organization
Contact information
Practice address
1 MAIDEN LN FL 4, NEW YORK, NY 10038-5130
(212) 791-3399
(212) 791-3388
Mailing address
1 MAIDEN LN FL 4, NEW YORK, NY 10038-5130
(212) 791-3399
(212) 791-3388
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00928809
—
NY
Enumeration date
08/13/2009
Last updated
08/13/2009
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