Individual
MARK GLICKLICH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3839 DANBURY RD, BREWSTER, NY 10509-5412
(845) 278-6200
(845) 278-7802
Mailing address
3839 DANBURY RD, BREWSTER, NY 10509-5412
(845) 278-6200
(845) 278-7802
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
167925
NY
2085N0700X
Neuroradiology Physician
167925
NY
2085N0904X
Nuclear Radiology Physician
167925
NY
2085P0229X
Pediatric Radiology Physician
167925
NY
2085R0202X
Diagnostic Radiology Physician
167925
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
167925
NY
2085U0001X
Diagnostic Ultrasound Physician
167925
NY
Other
Enumeration date
11/28/2005
Last updated
09/11/2025
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