Individual
DR. KEVIN M GLASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
58 SCHOOL ST, SUITE 102, GLEN COVE, NY 11542-2547
(516) 674-0404
Mailing address
58 SCHOOL ST, SUITE 102, GLEN COVE, NY 11542-2547
(516) 674-0404
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
173633
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8L241
BC/BS
NY
Enumeration date
09/20/2006
Last updated
07/08/2007
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