Individual
LORA RABIN DAGI GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
635 W 165TH ST, NEW YORK, NY 10032-3724
(212) 305-9535
(212) 305-5523
Mailing address
622 W 168TH ST FL 18, NEW YORK, NY 10032-3720
(212) 305-9535
(212) 305-5523
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
257523
MA
207W00000X
Ophthalmology Physician
Primary
282695
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
282695-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04499496
—
NY
Enumeration date
09/16/2010
Last updated
02/21/2024
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