Individual
DR. DAVID GLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
96 5TH AVE, 1K, NEW YORK, NY 10011-7605
(212) 924-2094
Mailing address
96 5TH AVE, 1K, NEW YORK, NY 10011-7605
(212) 924-2094
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
15963
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02560305
—
NY
Enumeration date
07/27/2006
Last updated
04/16/2009
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