Individual
MR. JONATHAN D GLASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 WILLIS AVENUE, MINEOLA, NY 11501
(516) 742-0034
(516) 742-0043
Mailing address
161 WILLIS AVENUE, MINEOLA, NY 11501
(516) 742-0034
(516) 742-0043
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
1873911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02414088
—
NY
Enumeration date
12/18/2006
Last updated
07/08/2007
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