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General NPI Number Information
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NPI Number | 1083753974
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Entity Type | Organization
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Legal Business Name | GLASSMAN PLASTIC SURGERY,PLLC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 978 ROUTE 45 SUITE L-5
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City | POMONA
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State | NY
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Zip | 10970-3521
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Country | US
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Telephone | 845-354-7878
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Fax | 845-354-7880
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Provider Business Mailing Address
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Address Line | 978 ROUTE 45 SUITE L-5
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City | POMONA
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State | NY
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Zip | 10970-3521
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Country | US
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Telephone | 845-354-7878
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Fax | 845-354-7880
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Authorized Official
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Title or Position | SURGEON
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Name | LAWRENCE GLASSMAN
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Credential | M.D.
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Telephone | 845-354-7878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 1636441
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 1395401
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License Number State | NY
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