Organization
OCEANSIDE PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERSHEL H GLATT M.D. (PEDIATRICIAN)
(516) 536-2000
Entity
Organization
Contact information
Practice address
3051 LONG BEACH RD, SUITE#1, OCEANSIDE, NY 11572-3240
(516) 536-2000
(516) 764-0257
Mailing address
3051 LONG BEACH RD, SUITE#1, OCEANSIDE, NY 11572-3240
(516) 536-2000
(516) 764-0257
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
109017
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00384785
—
NY
05
—
01836671
—
NY
Enumeration date
02/15/2007
Last updated
08/22/2020
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