Glick, Philip L

Glick, Philip L is an individual health care provider with primary practice located at 100 High St Dept Of Surgery, Buffalo NY 14203-1126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Glick, Philip L can be contacted via phone (716) 859-3371.

Contact Information

Primary practice address
100 High St Dept Of Surgery Buffalo NY 14203-1126
Fax: (716) 859-4580
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 175202 New York

Profile Details

NPI number 1841207016
LBN Legal business name Glick, Philip L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Mar 26th, 2014 - about 11 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 1841207016 NPPES
New York MEDICAID 01084179

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