Glass, Ronald Bernhard Jacob

Glass, Ronald Bernhard Jacob is an individual health care provider with primary practice located at 1176 5Th Ave , New York NY 10029-6503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Glass, Ronald Bernhard Jacob can be contacted via phone (212) 365-8332.

Contact Information

Primary practice address
1176 5Th Ave New York NY 10029-6503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 204332 New York

Profile Details

NPI number 1447250899
LBN Legal business name Glass, Ronald Bernhard Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Nov 8th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447250899 NPPES
New York MEDICAID 01213625

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