Individual
EDWARD A. GLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11203 QUEENS BLVD, FOREST HILLS, NY 11375-5550
(718) 263-3737
(718) 263-1156
Mailing address
11203 QUEENS BLVD, FOREST HILLS, NY 11375-5550
(718) 263-3737
(718) 263-1156
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
124359
NY
Other
Enumeration date
11/01/2006
Last updated
10/07/2010
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