DR. PHILIP ADRIAN GLICKMAN


Address: 140 Broadway # 4657, New York, NY 10005-1108
Phone: 6469614973

DR. PHILIP ADRIAN GLICKMAN (NPI# 1942597166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942597166
Entity Type Individual
Full Name DR. PHILIP ADRIAN GLICKMAN
Credential PSY.D.
Practice Address 140 Broadway # 4657
New York
NY 10005-1108
Mailing Address 129 Boerum Pl
6g
Brooklyn
NY 11201-7713
Practice Telephone 6469614973
Mailing Telephone 9146714860
Enumeration Date 2011-07-08
Last Update Date 2019-09-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
021281 NY Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2534 Steinway St, Astoria, NY 111033702 7187775243 7187775250

Office Location

Street Address 140 BROADWAY # 4657
City NEW YORK
State NY
Zip Code 10005-1108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639709439 Wellness Road Psychology, Pllc Social Worker 140 Broadway # 4657, New York, NY 10005-1108 2020-01-21

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1952914335 Danielle Landau Psychologist 127 W 96th St Apt 12e, New York, NY 10025-6482 2020-08-26
1265045744 Jennifer A Drapkin Psychologist 136 W 71st St Apt 4f, New York, NY 10023-4024 2020-08-25
1245841410 Therapeutic Alliance of New York Psychologist Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 2020-08-12
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Competitor

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City NEW YORK
Zip Code 10005

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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