ALAN TODD GLASS (NPI# 1124015318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124015318 |
| Entity Type | Individual |
| Full Name | ALAN TODD GLASS |
| Credential | M.D. |
| Practice Address |
271 Doughty Blvd Inwood NY 11096-2135 |
| Practice Telephone | 5162394244 |
| Practice Fax Number | 5163716083 |
| Mailing Telephone | 5162394244 |
| Mailing Fax Number | 5163716083 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
196509 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568506145 | Alan Irwin Glass | Student in an Organized Health Care Education/Training Program | 1 Brookings Dr, Campus Box 1201, Saint Louis, MO 63130-4862 | 2007-02-16 |
| Street Address |
271 DOUGHTY BLVD |
| City | INWOOD |
| State | NY |
| Zip Code | 11096-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706402 | Allan Scott Detweiler | Family Medicine | 271 Doughty Blvd, Inwood, NY 11096-2135 | 2005-08-09 |
| 1053961896 | General Surgery Consultant PC | Surgery | 271 Doughty Blvd, Inwood, NY 11096-2135 | 2019-09-13 |
| 1740768191 | Brittany Lynn Amato | Physician Assistant | 271 Doughty Blvd, Inwood, NY 11096-2135 | 2018-07-29 |
| 1811499239 | Natalie Helen Cain | Physician Assistant | 271 Doughty Blvd, Inwood, NY 11096-2135 | 2018-03-01 |
| 1891214987 | Francesca Ghassan | Physician Assistant | 271 Doughty Blvd, Inwood, NY 11096-2135 | 2017-09-11 |
| 1356881502 | Alexandra Scialdone | Physician Assistant | 271 Doughty Blvd, Inwood, NY 11096-2135 | 2017-03-06 |
| 1396285177 | Beatriz Woodworth | Physician Assistant | 271 Doughty Blvd, Inwood, NY 11096-2135 | 2017-02-28 |
| 1326402009 | Alan T. Glass, Md, Dermatology LLC | Dermatology | 271 Doughty Blvd, Inwood, NY 11096-2135 | 2016-04-08 |
| 1851751713 | Jennifer Raye | Physician Assistant | 271 Doughty Blvd, Inwood, NY 11096-2135 | 2016-03-03 |
| 1609179662 | Stefan Barker | Physician Assistant | 271 Doughty Blvd, Inwood, NY 11096-2135 | 2010-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568973592 | Andreadenise Jacqueline Gray | Behavior Technician | 600 Bayview Ave Ste 309, Inwood, NY 11096 | 2017-10-17 |
| 1407118557 | Julie Ann Ackerman | Specialist | 188 Donahue Ave, Inwood, NY 11096 | 2012-06-14 |
| 1164706362 | Ilene Rona Isler | Speech-Language Pathologist | 1 Donahue Avenue, Number Two School, Inwood, NY 11096 | 2011-10-06 |
| 1790064582 | Sharon Rae Solomon-fried Cander | Social Worker | #1 Donahue Ave, Public School Number Two, Inwood, NY 11096 | 2011-08-10 |
| 1548567217 | Stephanie Hazel Campbell | Speech-Language Pathologist | Donahue Avenue, Number Two School, Inwood, NY 11096 | 2011-02-16 |
| 1659678472 | Anthony Thomas Procaccino Jr. | Psychologist | 1 Donahue Ave. Number Two Elementary School, Lawrence Public Schools, Inwood, NY 11096 | 2011-02-14 |
| 1760792089 | Janice Patricia Mcphaul-guerrier | Licensed Practical Nurse | 87 Wanser Avenue, Lawrence Public School # 4, Inwood, NY 11096 | 2010-10-20 |
| 1376857979 | Hilary E. Shein Rothman | Physical Therapist | 90 Henry Street, Inwood, NY 11096 | 2010-08-06 |
| 1144335712 | Carlos A Menera | Obstetrics & Gynecology | 270 Doughty Blvd, Inwood, NY 11096 | 2006-08-21 |
| 1881619708 | Inwood Community Health Center | Clinic/Center | 270 Lawrence Ave., Inwood, NY 11096 | 2006-07-13 |
| Find all providers in zip 11096 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134326671 | Glass and Pomerantz, Mds, Pllc | Dermatology | 271 Doughty Blvd, Inwood, NY 11096-2135 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835364 | Skin & Aesthetic Surgery of Manhattan | Dermatology | 120 E 56th St # 1500, New York, NY 10022-3607 | 2020-09-14 |
| 1710443015 | Robert Paul Cipolla | Dermatology | 48 Cordelia Ave, Staten Island, NY 10309-3434 | 2019-02-12 |
| 1861889552 | Miriam R Lieberman | Dermatology | 2003 Avenue J Ste 1c, Brooklyn, NY 11210-3605 | 2015-04-20 |
| 1417206459 | Brett Marsh Dolgin | Dermatology | 255 Great Neck Rd Apt Ph15, Great Neck, NY 11021-3358 | 2012-09-06 |
| 1700149077 | Meghan Anne Feely | Dermatology | 300 E 75th St, 18l, New York, NY 10021-0216 | 2012-06-20 |
| 1487936308 | Union Square Laser Dermatology | Dermatology | 19 Union Sq W Fl 5, New York, NY 10003-3304 | 2011-09-16 |
| 1073764809 | William Jay Greenberg | Dermatology | 301 E 81st St, New York, NY 10028-4033 | 2008-10-10 |
| 1073780540 | Lewis M. Dubroff, M.d.,p.c. | Dermatology | 475 Irving Ave Ste 314, Syracuse, NY 13210-1528 | 2008-05-13 |
| 1992983456 | Jared Jagdeo | Dermatology | 450 Clarkson Ave Fl 8, Brooklyn, NY 11203-2012 | 2008-02-07 |
| 1437339447 | Mary Louise Lenahan | Dermatology | 9388 Transit Rd, East Amherst, NY 14051-1494 | 2007-11-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.