Individual
BEN A GLASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, SUITE 2400, HAWTHORNE, NY 10532-2140
(914) 593-8850
(914) 594-3747
Mailing address
22 SAW MILL RIVER RD, 2ND. FLOOR, HAWTHORNE, NY 10532-1533
(914) 593-1659
(914) 593-1790
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
018597
CT
208000000X
Pediatrics Physician
Primary
128561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092201
GHI HMO
NY
01
—
0562451
AETNA(HMO) PRIMARY CARE
NY
01
—
128561
CONNECTICARE
NY
01
—
128561-8W
WORKERS COMPENSATION
NY
01
—
133884168
POMCO
NY
01
—
2695454
GHI PPO
NY
01
—
4237422
AETNA (NON HMO)
NY
01
—
662Z61
BLUE CROSS PPO
NY
01
—
WP187
OXFORD
NY
Enumeration date
12/13/2005
Last updated
04/19/2026
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