Provider Demographics
NPI:1497076012
Name:GLASNAPP, ANGELA JACK (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:JACK
Last Name:GLASNAPP
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:125 MINEOLA AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2042
Mailing Address - Country:US
Mailing Address - Phone:516-616-5500
Mailing Address - Fax:888-502-6582
Practice Address - Street 1:355 US HIGHWAY 22 E
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-3577
Practice Address - Country:US
Practice Address - Phone:516-616-5500
Practice Address - Fax:888-502-6582
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2023-05-02
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25 MA08759500208600000X
NY238763208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery