Provider Demographics
NPI:1437317393
Name:GLATMAN, JOSH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSH
Middle Name:
Last Name:GLATMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3453 RICHMOND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-3219
Mailing Address - Country:US
Mailing Address - Phone:718-608-2020
Mailing Address - Fax:718-764-8799
Practice Address - Street 1:3453 RICHMOND AVE STE 200
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-3219
Practice Address - Country:US
Practice Address - Phone:718-608-2020
Practice Address - Fax:718-764-8799
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239967207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03208642Medicaid