Provider Demographics
NPI:1467457820
Name:SHERRIE GLASSER PHYSICAL THERAPY JOHN DOUGLAS PHYSICAL THERAPIST ASST
Entity Type:Organization
Organization Name:SHERRIE GLASSER PHYSICAL THERAPY JOHN DOUGLAS PHYSICAL THERAPIST ASST
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 1:256 N WELLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-3707
Mailing Address - Country:US
Mailing Address - Phone:631-957-7300
Mailing Address - Fax:631-957-7024
Practice Address - Street 1:256 N WELLWOOD AVE
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-3707
Practice Address - Country:US
Practice Address - Phone:631-957-7300
Practice Address - Fax:631-957-7024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY27301OtherCIGNA
NY40839POtherHIP/HEALTHCARE PARTNERS
NYQL0411OtherBLUE CROSS BLUE SHIELD
NY3422589OtherUS HEALTHCARE
NYANC1349OtherOXFORD
NY0141163OtherAETNA
NY76643OtherVYTRA
NYAZ00688OtherMDNY
NY3422589OtherUS HEALTHCARE