Organization
GLASS & INSERRA, M.D P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH S GLASS M.D. (PRESIDENT)
(631) 360-2200
Entity
Organization
Contact information
Practice address
309 MIDDLE COUNTRY RD, SUITE 101, SMITHTOWN, NY 11787-2844
(631) 360-2200
(631) 360-1328
Mailing address
309 MIDDLE COUNTRY RD, SUITE 101, SMITHTOWN, NY 11787-2844
(631) 360-2200
(631) 360-1328
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
116939
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710156500
—
NY
01
—
CF3379
RR MEDICARE
NY
Enumeration date
02/26/2008
Last updated
09/02/2008
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