Individual
SAMANTHA ALLY GLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PARK AVE FL 7, NEW YORK, NY 10016-5818
(646) 754-5000
Mailing address
1 PARK AVE FL 7, NEW YORK, NY 10016-5818
(646) 754-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/15/2018
Last updated
10/08/2021
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