Individual
DR. MICHAEL PETER GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 5TH AVE, SUITE 611, NEW YORK, NY 10017-3620
(212) 227-3688
Mailing address
535 5TH AVE, SUITE 611, NEW YORK, NY 10017-3620
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
257932
NY
Other
Enumeration date
06/20/2008
Last updated
01/05/2016
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