Provider Demographics
NPI:1013133024
Name:SHERRIE GLASSER PTPC
Entity Type:Organization
Organization Name:SHERRIE GLASSER PTPC
Other - Org Name:METROPOLITAN PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GLASSER-MAYRSOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:516-745-8050
Mailing Address - Street 1:333 EARLE OVINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-3610
Mailing Address - Country:US
Mailing Address - Phone:516-227-6043
Mailing Address - Fax:516-794-8758
Practice Address - Street 1:333 EARLE OVINGTON BLVD
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-3610
Practice Address - Country:US
Practice Address - Phone:516-227-6043
Practice Address - Fax:516-794-8758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQEW992Medicare PIN