Individual
MRS. AMANDA GLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
968 E BROADWAY, WOODMERE, NY 11598-1423
(646) 242-8452
Mailing address
968 E BROADWAY, WOODMERE, NY 11598-1423
(646) 242-8452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3110
NY
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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