Individual
MARY ANN GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
306 HEMPSTEAD AVE, MALVERNE, NY 11565-1201
(516) 678-0076
(516) 763-0981
Mailing address
306 HEMPSTEAD AVE, MALVERNE, NY 11565-1201
(516) 678-0076
(516) 763-0981
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
212311-1
NY
Other
Enumeration date
06/09/2006
Last updated
07/18/2016
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