Jerry Gliklich
Internist - Cardiovascular Disease
161 Fort Washington Ave Suite 535
New York
, New York 10032-3729
Jerry Gliklich
Internist - Cardiovascular Disease
161 Fort Washington Ave Suite 535
New York
, New York 10032-3729
(212) 342-5584
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Jerry Gliklich
- 161 Fort Washington Ave Suite 535
- New York, NY
- Zip : 10032-3729
- Fax : (212) 342-5584
- Phone : (212) 305-5588
Second Address
- Jerry Gliklich
- 161 Fort Washington Ave Suite 535
- New York, NY
- Zip : 10032-3729
- Fax : (212) 342-5584
- Phone : (212) 305-5588
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 127301 | NY |
National Provider Identifier
| NPI | 1023119997 |
|---|---|
| Provider Name | Jerry Gliklich |
| First Address | New York, NY 10032-3729 |
| Second Address | New York, NY 10032-3729 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| AG7207904 | DEA (01) | |
| B14682 | (02) |
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.