Organization
JORDAN B. GLASER M.D.P.C
Active
Organization
JORDAN B. GLASER M.D.P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN BARRY GLASER M.D.P.C. (INFECTIOUS DISEASE SPECIALIST)
(718) 816-3362
Entity
Organization
Contact information
Practice address
1408 RICHMOND RD, STATEN ISLAND, NY 10304-2312
(718) 816-3362
(718) 979-4650
Mailing address
1408 RICHMOND RD, STATEN ISLAND, NY 10304-2312
(718) 816-3362
(718) 979-4650
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02550172
—
NY
Enumeration date
01/24/2007
Last updated
06/05/2020
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