Provider Demographics
NPI:1083588768
Name:GLASS, HANNAH JANE (RDN)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:JANE
Last Name:GLASS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 E 129TH ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-1007
Mailing Address - Country:US
Mailing Address - Phone:818-383-3703
Mailing Address - Fax:
Practice Address - Street 1:14 E 129TH ST APT 2F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-1007
Practice Address - Country:US
Practice Address - Phone:818-383-3703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered