Organization
NYU COLLEGE OF DENTISTRY
Active
Other names
FACULTY PRACTICE SOUTH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S GLICKMAN DDS (ASSOC DEAN CLINICAL AFFAIRS)
(212) 443-1322
Entity
Organization
Contact information
Practice address
726 BROADWAY, SUITE 350, NEW YORK, NY 10003-9502
(212) 443-1300
(212) 443-1331
Mailing address
726 BROADWAY, SUITE 350, NEW YORK, NY 10003-9502
(212) 443-1300
(212) 443-1331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
021314-2
NY
Other
Enumeration date
04/26/2007
Last updated
04/16/2019
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