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Organization
GARY M GLICKMAN, M.D. P. C.
Active
Organization
GARY M GLICKMAN, M.D. P. C.
Active
Other names
Gary M. Glickman, MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
GARY M GLICKMAN MD PC (PRESIDENT)
(212) 532-2500
Entity
Organization
Contact information
Practice address
30 PARK AVE, NEW YORK, NY 10016-3801
(212) 532-2500
(212) 532-9689
Mailing address
30 PARK AVE, NEW YORK, NY 10016-3801
(212) 532-2500
(212) 532-9689
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01005201
—
NY
05
—
02046220
—
NY
01
—
165722
NY LICENSE
NY
Enumeration date
12/01/2006
Last updated
11/13/2020
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