Individual
DR. SCOT BRADLEY GLASBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42A E 74TH ST, NEW YORK, NY 10021-2735
(212) 717-8550
(212) 717-8589
Mailing address
42A E 74TH ST, NEW YORK, NY 10021-2735
(212) 717-8550
(212) 717-8589
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
188514
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01854062
—
NY
Enumeration date
05/02/2006
Last updated
05/02/2011
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