Individual
BARBARA GLUCKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
22 PARK PL, STE B, GREAT NECK, NY 11021-5012
(917) 715-1236
Mailing address
30 BARSTOW RD APT 3E, GREAT NECK, NY 11021-2221
(917) 715-1236
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
13999
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02513784
—
NY
01
—
0281EP
MEDICARE GHI
NY
Enumeration date
07/27/2006
Last updated
10/12/2021
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