Individual
DR. JEROME B GLASSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4105 31ST AVENUE, ASTORIA, NY 11103-3462
(718) 278-8020
(718) 278-8599
Mailing address
4105 31ST AVENUE, ASTORIA, NY 11103-3462
(718) 278-8020
(718) 278-8599
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2400
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002400A39
HEALTHFIRST
NY
01
—
0086040
GHI
NY
05
—
1101493690
—
NY
01
—
177233
ELDERPLAN
NY
01
—
1870
MAGNAHEALTH
NY
01
—
24409
VITRA
NY
01
—
36528P
HIP
NY
01
—
4809110772
RR MCR
NY
01
—
4C4625
PHS
NY
01
—
825983
PENNSYLVANIA BLUE SHIELD
NY
01
—
ACCESS 931365
HEALTHNET
NY
01
—
GJ2400
ATLANTIS HEALTH
NY
01
—
P030002400NY01
ANTHEM 6450
NY
01
—
P27721
BLUE CROSS BLUE SHIELD
NY
01
—
P463339
OXFORD
NY
01
—
P62577571
MULTIPLAN
NY
Enumeration date
03/05/2007
Last updated
07/08/2007
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