Organization
GLEN FITTERMAN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN FITTERMAN M.D. (PRESIDENT)
(516) 931-5800
Entity
Organization
Contact information
Practice address
700 OLD COUNTRY RD, SUITE 204, PLAINVIEW, NY 11803-4932
(516) 931-5800
Mailing address
700 OLD COUNTRY RD, SUITE 204, PLAINVIEW, NY 11803-4932
(516) 931-5800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
177452
NY
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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