KENNETH GLASS

Dr KENNETH GLASS is a male medical professional, specializing in Optometry. He graduated in 1983 from State University Of New York - State College Optometry.

Contact

38 FLOWER LN
JERICHO
NY
117532312

Tel:

KENNETH GLASS Information

Npi 1154415479
Pac Id 9739236480
Professional Enrollment Id I20090415000126
Last Name GLASS
First Name KENNETH
Middle Name
Suffix
Gender M
Credential
Medical School Name STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduation Year 1983
Primary Specialty OPTOMETRY
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Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
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Line 1 Street Address 38 FLOWER LN
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JERICHO
State NY
Zip Code 117532312
Phone Number
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Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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