Individual
ANNA GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
14 PENN PLAZA, SUITE 400, NEW YORK, NY 10119
(212) 563-0095
Mailing address
110 LAKE DRIVE, NEW HYDE PARK, NY 11040-1137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051482-1
NY
Other
Enumeration date
05/08/2007
Last updated
10/01/2008
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