Gluck, Gerson
Gluck, Gerson is an individual health care provider with primary practice located at 1118 Esplanade Ave , Bronx NY 10461-1210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Gluck, Gerson can be contacted via phone (718) 828-3663.Contact Information
Primary practice address
1118 Esplanade Ave
Bronx NY 10461-1210
Phone: (718) 828-3663
Fax: (718) 828-3154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 182895 | New York |
Profile Details
| NPI number | 1225044878 |
|---|---|
| LBN Legal business name | Gluck, Gerson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Dec 6th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225044878 | NPPES |
| New York | MEDICAID | 01359746 |
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