Individual
JONI-GAYLE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21 MITCHELL DRIVE, SOUND BEACH, NY 11789-2437
(631) 744-3524
(631) 744-3524
Mailing address
21MITCHELL DRIVE, SOUND BEACH, NY 11789-2437
(631) 744-3524
(631) 744-3524
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
485182
NY
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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