Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 244567 | NY |
NPI | 1003041716 |
---|---|
Provider Name | Felicia Gliksman |
First Address | Manhasset, NY 11030-3838 |
Second Address | New Hyde Park, NY 11042-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2009 |
Last Update Date | 26/05/2009 |