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General NPI Number Information
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NPI Number | 1104026046
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Entity Type | Organization
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Legal Business Name | SHERRIE GLASSERPTPC
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 300 FOREST DR
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City | GREENVALE
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State | NY
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Zip | 11548-1231
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Country | US
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Telephone | 516-484-1545
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Fax | 516-745-6766
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Provider Business Mailing Address
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Address Line | 800 E GATE BLVD
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City | GARDEN CITY
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State | NY
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Zip | 11530-2105
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Country | US
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Telephone | 516-745-8050
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Fax | 516-745-6766
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHERRIE LYNN GLASSER-MAYRSOHN
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Credential | MSPT
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Telephone | 516-745-8050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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