DR. SHARON A. GLICK (NPI# 1114911419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114911419 |
| Entity Type | Individual |
| Full Name | DR. SHARON A. GLICK |
| Credential | M.D. |
| Practice Address |
450 Clarkson Ave Suite H Brooklyn NY 11203-2056 |
| Mailing Address |
450 Clarkson Ave Box 1262 Brooklyn NY 11203-2056 |
| Practice Telephone | 7182701229 |
| Practice Fax Number | 7182702794 |
| Mailing Telephone | 7182708867 |
| Mailing Fax Number | 7182701794 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2015-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
197400-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01840362 | 05 |
| Street Address |
450 CLARKSON AVE SUITE H |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700888013 | David Landman | Internal Medicine | 450 Clarkson Ave, Brooklyn, NY 11203-2056 | 2005-06-01 |
| 1215537345 | Stephanie Galbert | Nurse Practitioner | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-10-28 |
| 1972118560 | Juveria Ansar Peshimam | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-09-10 |
| 1285248831 | Khawar Nawaz | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-09-01 |
| 1871107458 | Sneha Naidu Gade | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-09-01 |
| 1063025641 | Vaibhaviben Solanki | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-25 |
| 1548873961 | Bhesh Raj Karki | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-25 |
| 1174136717 | Cyrilee Maud Thompson | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-24 |
| 1215548953 | Maximillian Anderson Weigelt | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-16 |
| 1417568106 | Kereisha Nicole Donegal | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 207NP0225X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Pediatric Dermatology |
| A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004430 | Nanette B. Silverberg Md Pllc | Dermatology | 2839 Brighton 7th St, 1st Floor, Brooklyn, NY 11235-5203 | 2016-10-14 |
| 1093068611 | Steven M. Weissman, Md Pllc | Dermatology | 9413 Flatlands Ave, Suite 102 East, Brooklyn, NY 11236-3726 | 2012-10-19 |
| 1285648154 | Mmc Pediatrics Faculty Practice | Dermatology | 948 48th Street, Brooklyn, NY 11219 | 2006-07-28 |
| 1659328193 | University Physicians of Brooklyn, Inc. | Dermatology | 450 Clarkson Ave, Brooklyn, NY 11203-2056 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427492081 | Julia Klein Gittler | Dermatology | 1250 Waters Pl Fl 11, Bronx, NY 10461-2720 | 2013-04-24 |
| 1922371558 | Mitchell J. Mandel, M.d., P.C. | Dermatology | 1 Polo Dr, Old Westbury, NY 11568-1039 | 2012-02-13 |
| 1669732467 | Elizabeth Rose Ghazi | Dermatology | 240 E 38th St, Floor 11- Nyu Medical Center, New York, NY 10016-2708 | 2012-05-25 |
| 1235429341 | Laura Englander Levin | Dermatology | 130 E 67th St, New York, NY 10065-6136 | 2011-04-10 |
| 1639495732 | Manhattan Dermatology and Cosmetics Pllc | Dermatology | 820 2nd Ave, Suite 3a, New York, NY 10017 | 2010-04-14 |
| 1982931804 | Leonard Kristal, M. D. P. C. | Dermatology | 2001 Marcus Ave, Suite S 40, New Hyde Park, NY 11042-1011 | 2009-11-13 |
| 1548490865 | Alexis Weymann Perlmutter | Dermatology | 2508 Western Ave, Altamont, NY 12009-9485 | 2009-07-21 |
| 1477720977 | Brook Elan Tlougan | Dermatology | 2 Overhill Rd, Scarsdale, NY 10583-5323 | 2008-05-14 |
| 1598893851 | Robert Hayman | Dermatology | 2001 Marcus Ave, Suite S40, New Hyde Park, NY 11042-1011 | 2007-03-01 |
| 1871533810 | Leonard Kristal | Dermatology | 181 N Belle Mead Rd, East Setauket, NY 11733-3495 | 2006-06-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.