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NPI 1912099540

NPI 1912099540 : SHERRIE GLASSER, PHYSICAL THERAPIST. PC : GARDEN CITY, NY

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General NPI Number Information
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    NPI Number           |    1912099540
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHERRIE GLASSER, PHYSICAL THERAPIST. PC 
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Dates
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    Enumeration Date     |    09/29/2006
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    Last Update Date     |    07/31/2015
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Provider Practice Location 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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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. SHERIRE LYNN GLASSER 
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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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