Individual
MR. LEWIS GLICKMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 PROSPECT PARK W, STE 1B, BROOKLYN, NY 11215-1706
(718) 638-0139
Mailing address
27 PROSPECT PARK W, STE 1B, BROOKLYN, NY 11215-1706
(718) 638-0139
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
76014
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76014
LICENSE
NY
Enumeration date
10/03/2005
Last updated
07/08/2007
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