Dr. Gerson Gluck
Adolescent Medicine
1118 Esplanade Ave
Bronx
, New York 10461-1210
Dr. Gerson Gluck
Adolescent Medicine
1118 Esplanade Ave
Bronx
, New York 10461-1210
(718) 828-3154
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Gerson Gluck
- 1118 Esplanade Ave Gr. Floor
- Bronx, NY
- Zip : 10461-1210
- Fax : (718) 828-3154
- Phone : (718) 828-3663
Second Address
- Dr. Gerson Gluck
- 1118 Esplanade Ave
- Bronx, NY
- Zip : 10461-1210
- Fax : (718) 828-3154
- Phone : (718) 828-3663
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 182895 | NY |
National Provider Identifier
| NPI | 1225044878 |
|---|---|
| Provider Name | Dr. Gerson Gluck |
| First Address | Bronx, NY 10461-1210 |
| Second Address | Bronx, NY 10461-1210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2006 |
| Last Update Date | 06/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01359746 | (05) | NY |
| F76434 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.