| Doctor Name: | ROBERT GLICKEN |
| NPI Number: | 1174609507 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | 5041863 |
| Business Practice Address: | 14930 88th St Howard Beach, NY - 114141438 |
| Business Phone Number: | 7188356003 |
| Business Fax Number: | 7718845077 |
| Mailing Address: | 149-30 88 Street, HOWARD BEACH |
| State: | NY |
| Postal Code: | 11414 |
| Phone Number: | 7188356003 |
| Fax Number: | 7718845077 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 5041863 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |