Glickman, Alan

Glickman, Alan is an individual health care provider with primary practice located at 4250 Albany Post Rd Suite 1, Hyde Park NY 12538-1766. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Glickman, Alan can be contacted via phone (845) 229-2602.

Contact Information

Primary practice address
4250 Albany Post Rd Suite 1 Hyde Park NY 12538-1766
Fax: (845) 229-2830
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F334262-1 New York

Profile Details

NPI number 1760474449
LBN Legal business name Glickman, Alan
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 13th, 2011 - 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 1760474449 NPPES
New York MEDICAID 02575331

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