MEDICARE: ERIKA GLIK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0019X	Physical Rehabilitation Occupational Therapist	016545	NY

General Provider Information

NPI Number	:	1346548625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA GLIK

Provider Business Mailing Address
First Line	:	2420 E 63RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6705
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2420 E 63RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6705
Country	:	US
Telephone Number	:	718-431-4032
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2011
Last Update Date	:	03/10/2011

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Directions to “ ERIKA GLIK ” Practice Location

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