Provider Demographics
NPI:1710150305
Name:GLASER, JUDITH ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ANN
Last Name:GLASER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:192 BON AIR AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-3105
Mailing Address - Country:US
Mailing Address - Phone:914-752-7797
Mailing Address - Fax:844-854-7503
Practice Address - Street 1:77 PONDFIELD RD STE GFL 2
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3809
Practice Address - Country:US
Practice Address - Phone:914-752-7797
Practice Address - Fax:844-854-7503
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY248529208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation