Glow Medispa
NPI #1588817084 in Roslyn Heights, New York
Provider Information
- NPI Number
- 1588817084
- Entity Type
- Organization
- Organization Name
- Glow Medispa
- Primary Specialty
- Plastic Surgery
- Enumeration Date
- Oct 28, 2008
- Last Updated
- Oct 13, 2009
Practice Location
- Address
- 1 EXPRESSWAY PLZ
- Address 2
- SUITE 115
- City
- Roslyn Heights
- State
- New York
- ZIP Code
- 11577-2047
- Phone
- (516) 801-1106
Authorized Official
- Name
- SOOFIA RUBBANI, M.D.
- Title
- PRESIDENT
- Phone
- (516) 801-1106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Plastic Surgery |
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