Individual
DR. MELISSA MEIRA GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
480 W 187TH ST, #6D, NEW YORK, NY 10033-1501
(516) 410-6811
Mailing address
480 W 187TH ST, #6D, NEW YORK, NY 10033-1501
(516) 410-6811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056251
NY
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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