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Organization

ELMHURST WOMEN'S MEDICAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID A GLUCK M.D. (MEDICAL DIRECTOR)
(718) 205-3550
Entity
Organization

Contact information

Practice address
4024 76TH ST, ELMHURST, NY 11373-1009
(718) 205-3550
(718) 205-3540
Mailing address
4024 76TH ST, ELMHURST, NY 11373-1009
(718) 205-3550
(718) 205-3540

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
108577
NY

Other

Enumeration date
03/31/2009
Last updated
03/31/2009
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