Individual
DR. STEPHEN IAN GLICKSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1556 38TH ST, BROOKLYN, NY 11218-4408
(718) 670-3290
(718) 853-0818
Mailing address
1169 SUSSEX RD, TEANECK, NJ 07666-2770
(201) 692-1866
(718) 853-0818
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013863
NY
103T00000X
Psychologist
4598
NJ
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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