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Individual

DR. JULIE SUE GLICKSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3959 BROADWAY, NEW YORK, NY 10032
(212) 530-4729
(212) 544-1974
Mailing address
180 E END AVE, #8B, NEW YORK, NY 10128-7763
(212) 737-7911

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
171940
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01346872
NY
Enumeration date
02/27/2006
Last updated
11/20/2013
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