Individual provider · Type 1 NPI
Jordan B. Glaser, M.D. P.C
Specialist · Staten Island, NY
NPI number
1821084732
Active
Practice location
1408 Richmond Road
Staten Island, NY 10304-2312
Fax (718) 979-5650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 143039 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1821084732
Jordan B. Glaser, M.D. P.C's National Provider Identifier is 1821084732, issued on Sep 26, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Sep 7, 2010.