Individual
GARY M GLICKMAN M.D.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 PARK AVE, NEW YORK, NY 10016-3801
(212) 532-2500
(212) 532-9689
Mailing address
30 PARK AVE, NEW YORK, NY 10016-3801
(212) 532-2500
(212) 532-9689
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
165722
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01005201
—
NY
05
—
02046220
—
NY
01
—
165722
NY LICENSE
NY
Enumeration date
03/28/2006
Last updated
09/19/2014
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