Individual
DR. MOSHE AARON GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4250 BROADWAY, SUITE 5W, NEW YORK, NY 10033-3748
(212) 795-0765
Mailing address
4250 BROADWAY, SUITE 5W, NEW YORK, NY 10033-3748
(212) 795-0765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50 055029
NY
Other
Enumeration date
08/03/2010
Last updated
07/17/2013
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