Kenneth Glass (NPI# 1154415479, PAC ID# 9739236480) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1154415479 |
| PAC ID by PECOS | 9739236480 |
| Professional Enrollment ID | I20090415000126 |
| Full Name | Kenneth Glass |
| Address |
38 Flower Ln Jericho NY 11753-2312 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY |
| Graduation Year | 1983 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 38 Flower Ln, Jericho, NY 11753-2312 |
| Street Address |
38 FLOWER LN |
| City | JERICHO |
| State | NY |
| Zip | 11753-2312 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard S Keohane | Physical Therapy | 55 Jericho Tpke, Suite 102, Jericho, NY 11753-1013 | |
| Amir Milad Hanna | Physical Therapy | 55 Jericho Tpke, Suite 306, Jericho, NY 11753-1013 | |
| Fredy Ho | Physical Therapy | Jericho Wellness LLC | 55 Jericho Tpke, Suite 102, Jericho, NY 11753-1013 |
| Adam J Schneider | Neurology | Adam J Schneider Md PC | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1015 |
| Lawrence A. Smiley | General Practice | 99 Jericho Tpke, Suite 202, Jericho, NY 11753-1015 | |
| Marco L Palermo | Physical Therapy | 99 Jericho Tpke, Suite 305, Jericho, NY 11753-1015 | |
| Scott P Bloom | Family Medicine | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1015 | |
| Alan A Mazurek | Neurology | Adam J Schneider Md PC | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1015 |
| Richard P Grucela | Physical Therapy | 33 S Service Rd, Suite 119, Jericho, NY 11753-1036 | |
| Mark Kwalbrun | Diagnostic Radiology | Ali M Gharagozloo Md PC | 27 Club Dr S, Jericho, NY 11753-1132 |
| Find all physicians in zip 11753 | |||
| City | JERICHO |
| Zip Code | 11753 |
| Specialty | OPTOMETRY |
| City + Specialty | JERICHO + OPTOMETRY |
Please comment or provide details below to improve the information on Kenneth Glass.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.