Glaser, Jordan B
Glaser, Jordan B is an sole proprietor health care provider with primary practice located at 1408 Richmond Road , Staten Island NY 10304-2312. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Glaser, Jordan B can be contacted via phone (718) 816-3362.Contact Information
Primary practice address
1408 Richmond Road
Staten Island NY 10304-2312
Phone: (718) 816-3362
Fax: (718) 979-5650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 143039 | New York |
Profile Details
| NPI number | 1821084732 |
|---|---|
| LBN Legal business name | Glaser, Jordan B |
| Credentials | M.D. P.C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Sep 7th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821084732 | NPPES |
| New York | MEDICAID | 00570916 |
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