Organization
ROBERT I. GLUCK, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GLUCK M.D. (PHYSICIAN)
(516) 280-5844
Entity
Organization
Contact information
Practice address
410 LAKEVILLE ROAD, SUITE310, NEW HYDE PARK, NY 11042
(516) 280-5844
(516) 280-5768
Mailing address
410 LAKEVILLE ROAD, SUITE310, NEW HYDE PARK, NY 11042
(516) 280-5844
(516) 280-5768
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
155436
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181442
—
NY
Enumeration date
12/31/2007
Last updated
06/11/2008
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