MEDICARE: DR. ANDREW RIGBY GLASS DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N006132	NY

General Provider Information

NPI Number	:	1073622114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW RIGBY GLASS DPM

Provider Business Mailing Address
First Line	:	100 HILLSIDE AVE
Second Line	:
City	:	MANHASSET
State	:	NY
Zip	:	11030-2252
Country	:	US
Telephone Number	:	516-314-6484
Fax Number	:	212-867-3845

Provider Business Practice Location Address
First Line	:	315 MADISON AVE
Second Line	:	RM 2301
City	:	NEW YORK
State	:	NY
Zip	:	10017-5413
Country	:	US
Telephone Number	:	212-867-2500
Fax Number	:	212-867-2500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	01/26/2017

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Directions to “ DR. ANDREW RIGBY GLASS DPM” Practice Location

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