MARK GLICKLICH

BREWSTER, NY
NPI1497738199
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085B0100X Radiology, Body Imaging
(Licence: NY  167925)
Additional Taxonomies2085N0700X Radiology, Neuroradiology
(Licence: NY  167925)
2085N0904X Radiology, Nuclear Radiology
(Licence: NY  167925)
2085P0229X Radiology, Pediatric Radiology
(Licence: NY  167925)
2085R0202X Radiology, Diagnostic Radiology
(Licence: NY  167925)
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: NY  167925)
2085U0001X Radiology, Diagnostic Ultrasound
(Licence: NY  167925)
Enumeration Date2005-11-28
Last Update Date2007-07-08
Business Address
-- MARK GLICKLICH MD
3839 DANBURY RD
BREWSTER, NY 10509-5412
Phone number: 845-278-6200
Mailing Address
-- MARK GLICKLICH MD
3839 DANBURY RD
BREWSTER, NY 10509-5412
Phone number: 845-278-6200