Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 259038 | NY |
NPI | 1184858813 |
---|---|
Provider Name | Chana Glasser |
First Address | Mineola, NY 11501-3800 |
Second Address | Mineola, NY 11501-4064 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2009 |
Last Update Date | 13/07/2015 |