Individual
JAIMIE BROOKE GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 5TH AVE FL 2, NEW YORK, NY 10003-1007
(212) 533-8888
Mailing address
119 5TH AVE FL 2, NEW YORK, NY 10003-1007
(212) 533-8888
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
282751
NY
Other
Enumeration date
06/05/2012
Last updated
11/15/2022
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