Individual
MR. FRED GARY GLASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
297 MINEOLA BLVD, MINEOLA, NY 11501-1502
(516) 294-1377
(516) 294-5574
Mailing address
297 MINEOLA BLVD, MINEOLA, NY 11501-1502
(516) 294-1377
(516) 294-5574
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
158600
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01069718
—
NY
Enumeration date
02/16/2006
Last updated
03/28/2022
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