Individual
MR. KENNETH J GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN AAS
Contact information
Practice address
41 NORTH STREET, BUFFALO, NY 14202-1105
(716) 883-2020
(716) 883-2020
Mailing address
41 NORTH STREET, BUFFALO, NY 14202-1105
(716) 883-2020
(716) 883-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C003597
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00594803
—
NY
Enumeration date
11/27/2007
Last updated
11/27/2007
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