Provider Demographics
NPI:1780680991
Name:GLASMAN, ABRAHAM M (MD)
Entity Type:Individual
Prefix:
First Name:ABRAHAM
Middle Name:M
Last Name:GLASMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:170 GREAT NECK RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3337
Mailing Address - Country:US
Mailing Address - Phone:516-487-4464
Mailing Address - Fax:516-487-4950
Practice Address - Street 1:170 GREAT NECK RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3337
Practice Address - Country:US
Practice Address - Phone:516-487-4464
Practice Address - Fax:516-487-4950
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY22926712084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY538N91Medicare PIN
I04223Medicare UPIN