Individual
DR. BARRY STEPHEN GLOGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
7211 AUSTIN ST STE 124, FOREST HILLS, NY 11375-5354
(718) 643-1836
Mailing address
7211 AUSTIN ST STE 124, FOREST HILLS, NY 11375-5354
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
135225
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
135225
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
135225
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
135225
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008217012
—
NY
01
—
135225-1B
WORKER'S COMPENSATION
NY
01
—
13D431
BC/BS
NY
01
—
KS018
OXFORD
NY
Enumeration date
10/05/2005
Last updated
09/11/2014
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