Provider Demographics
NPI:1104026046
Name:SHERRIE GLASSERPTPC
Entity Type:Organization
Organization Name:SHERRIE GLASSERPTPC
Other - Org Name:METROPOLITAN PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GLASSER-MAYRSOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:516-745-8050
Mailing Address - Street 1:800 E GATE BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-2105
Mailing Address - Country:US
Mailing Address - Phone:516-745-8050
Mailing Address - Fax:516-745-6766
Practice Address - Street 1:300 FOREST DR
Practice Address - Street 2:
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1231
Practice Address - Country:US
Practice Address - Phone:516-484-1545
Practice Address - Fax:516-745-6766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQEW992Medicare PIN