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NPI Code Detail

MEDICARE: GLICK KIDS INC

MEDICARE: GLICK KIDS INC
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
1174400000XSpecialist

General Provider Information

NPI Number : 1669226015
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLICK KIDS INC
Provider Business Mailing Address
First Line : 200 CORBIN PL APT 1S
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-4935
Country : US
Telephone Number : 347-210-7416
Fax Number :
Provider Business Practice Location Address
First Line : 200 CORBIN PL APT 1S
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-4935
Country : US
Telephone Number : 347-210-7416
Fax Number :
Authorized Official
Title or Position : CEO
Name : NATALYA GLIKMAN
Credential : MS SPED
Telephone Number : 347-210-7416
Provider Enumeration Date : 04/12/2024
Last Update Date : 04/12/2024

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Directions to “GLICK KIDS INC ” Practice Location

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