Glick, Cheryl M

Glick, Cheryl M is an individual health care provider with primary practice located at 942A Route 146 , Clifton Park NY 12065-3614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Glick, Cheryl M can be contacted via phone (518) 371-8000.

Contact Information

Primary practice address
942A Route 146 Clifton Park NY 12065-3614
Fax: (518) 371-5338
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009618 New York

Profile Details

NPI number 1255442059
LBN Legal business name Glick, Cheryl M
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 25th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255442059 NPPES
New York Other 070508000030 FIDELIS
New York Other 000407398001 FIDELIS
New York MEDICAID 02494791 FIDELIS
New York Other 400815 FIDELIS

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