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Individual

DR. JOSEPH EZRA GLASER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 343-0616
(845) 343-0617
Mailing address
185 RYKOWSKI LN, # 101, MIDDLETOWN, NY 10941-4055
(845) 692-0030

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
255301
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03427209
NY
Enumeration date
08/26/2011
Last updated
02/14/2017
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