Individual
DR. PETER LOUIS GLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 E 77TH ST, NEW YORK, NY 10075-1817
(212) 772-3111
Mailing address
450 E 20TH ST, APT 8H, NEW YORK, NY 10009-8238
(646) 244-7856
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD426075
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03241196
—
NY
05
—
054764600
—
FL
01
—
101234464
AMERICHOICE OF PA
PA
05
—
101234464
—
PA
05
—
1600156
—
LA
05
—
1659350734
—
IA
01
—
1725277
HIGHMARK BLUE SHIELD
PA
05
—
200262380A
—
OK
01
—
231955165
INTERGROUP SERVICES
PA
01
—
2393615000
KHPE
PA
05
—
2855227
—
OH
01
—
30020753
KEYSTONE MERCY
PA
05
—
808352700
—
ID
01
—
9336768
PHCS
PA
05
—
MD001PA
—
AK
01
—
MD426075
HEALTH PARTNERS
PA
01
—
P00229796
RAILROAD MEDICARE
PA
01
—
PA7584
HEALTHNET
PA
Enumeration date
01/17/2006
Last updated
08/05/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us