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Organization

ALAN T. GLASS, MD, DERMATOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN TODD GLASS MD (OWNER)
(516) 239-4244
Entity
Organization

Contact information

Practice address
271 DOUGHTY BLVD, INWOOD, NY 11096-2135
(516) 239-4244
(516) 371-6083
Mailing address
271 DOUGHTY BLVD, INWOOD, NY 11096-2135
(516) 239-4244
(516) 371-6083

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
196509
NY

Other

Enumeration date
04/08/2016
Last updated
04/08/2016
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