Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 016545 | NY |
NPI | 1346548625 |
---|---|
Provider Name | Erika Glik |
First Address | Brooklyn, NY 11234-6705 |
Second Address | Brooklyn, NY 11234-6705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2011 |
Last Update Date | 10/03/2011 |