Individual
DR. GLEN H BLUSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
125 ROCKLAND PLZ, NANUET, NY 10954-2212
(201) 684-9000
(201) 684-9002
Mailing address
125 ROCKLAND PLZ, NANUET, NY 10954-2212
(201) 684-9000
(201) 684-9002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA 05364
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016849000
VSP
NJ
01
—
2568836
AETNA
NJ
Enumeration date
08/16/2005
Last updated
01/18/2022
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