Individual
DR. LAUREN DANIELLE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-8662
Mailing address
1 GUSTAVE L. GUSTAVE, NEW YORK, NY 10029
(212) 241-8662
(212) 534-2659
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
263908
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04996567
—
NY
Enumeration date
08/08/2011
Last updated
11/04/2021
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