Provider Demographics
NPI:1144225582
Name:SHERRIE GLASSER PHYSICAL THERAPIST JOHN DOUGLAS PHYSICAL THERAPIST ASS
Entity Type:Organization
Organization Name:SHERRIE GLASSER PHYSICAL THERAPIST JOHN DOUGLAS PHYSICAL THERAPIST ASS
Other - Org Name:METRO COMPREHENSIVE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLASSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-745-8050
Mailing Address - Street 1:1061 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:N MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-1802
Mailing Address - Country:US
Mailing Address - Phone:516-454-6387
Mailing Address - Fax:516-454-6303
Practice Address - Street 1:1061 N BROADWAY
Practice Address - Street 2:
Practice Address - City:N MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-1802
Practice Address - Country:US
Practice Address - Phone:516-454-6387
Practice Address - Fax:516-454-6303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY40839POtherHIP/HEALTHCARE PARTNERS
NYAZ00688OtherMDNY
NY2122337OtherUNITED HEALTH CARE
NY3422589OtherUS HEALTHCARE
NYQL0411OtherBLUE CROSS BLUE SHIELD
NY27301OtherCIGNA
NYANC1349OtherOXFORD
NY76643OtherVYTRA
NYQOWDP1Medicare ID - Type Unspecified