Individual
DR. GERSON GLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1118 ESPLANADE AVE, BRONX, NY 10461-1210
(718) 828-3663
(718) 828-3154
Mailing address
1118 ESPLANADE AVE, GR. FLOOR, BRONX, NY 10461-1210
(718) 828-3663
(718) 828-3154
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
182895
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01359746
—
NY
Enumeration date
08/01/2006
Last updated
12/06/2019
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