DR. ROSLYNN S GLICKSMAN (NPI# 1821286055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821286055 |
| Entity Type | Individual |
| Full Name | DR. ROSLYNN S GLICKSMAN |
| Credential | M.D. |
| Practice Address |
200 Varick St New York NY 10014-4810 |
| Practice Telephone | 2126200340 |
| Mailing Telephone | 2126200340 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 150432 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01027265 | 05 |
| Street Address |
200 VARICK ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10014-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598770018 | Project Renewal Inc | Clinic/Center | 200 Varick St, New York, NY 10014-4810 | 2006-07-31 |
| 1629485578 | Melissa O'brien | Nurse Practitioner | 200 Varick St, 9th Floor, New York, NY 10014-4810 | 2014-07-11 |
| 1740540863 | Audrey J Tyler | Nurse Practitioner | 200 Varick St, New York, NY 10014-4810 | 2012-05-23 |
| 1962773499 | Alexandria Leigh Dougherty | Nurse Practitioner | 200 Varick St, 9th Floor, New York, NY 10014-4810 | 2012-01-13 |
| 1982974440 | Project Renewal | Point of Service | 200 Varick St, New York, NY 10014-4810 | 2011-12-30 |
| 1275813404 | Ann Marie Grogan | Registered Nurse | 200 Varick St, Project Renewal, New York, NY 10014-4810 | 2011-08-19 |
| 1861704314 | Michele L Tyler | Nurse Practitioner | 200 Varick St, 9th Floor, New York, NY 10014-4810 | 2010-07-12 |
| 1548423577 | Shawn Michael Allen | Psychiatry & Neurology | 200 Varick St, Project Renewal - 9th Floor, New York, NY 10014-4810 | 2008-07-09 |
| 1780855684 | Mark Robert Schufman | Dentist | 200 Varick St, 9th Floor, New York, NY 10014-4810 | 2008-03-18 |
| 1023216512 | Debra Ann Thomas | Radiologic Technologist | 200 Varick St, New York, NY 10014-4810 | 2007-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142446 | Marco A Campello | Physical Therapist | 63 Downing Street, New York, NY 10014 | 2020-01-02 |
| 1093271710 | Little Smiles Pediatric Dentistry, Pllc | Dentist | 535 Hudson Street 1c, Apt #3g, New York, NY 10014 | 2019-02-19 |
| 1528539525 | David R Schoenberger | Psychoanalyst | 27 West 12th Street, Apt 1-c, New York, NY 10014 | 2018-12-17 |
| 1932670270 | Paul Scoles | Orthopaedic Surgery | 27o W 11th, 6f, New York, NY 10014 | 2018-12-16 |
| 1831633965 | Carol Bonhomme | Speech-Language Pathologist | 250 West Houston Street, 721m, New York, NY 10014 | 2016-12-08 |
| 1346783016 | Dawn Julie Adamousky | Speech-Language Pathologist | 450 Hudson Street, New York, NY 10014 | 2016-11-29 |
| 1578922472 | Samriti Goyal | Dentist | 44 Perry St Apt 5r, New York, NY 10014 | 2016-02-19 |
| 1255734471 | Chavie E Lichtenberg | Counselor | 165 Christopher St Apt 4n, New York, NY 10014 | 2014-10-01 |
| 1699015180 | Meghan C Ward | Counselor | 27 Christopher Street, New York, NY 10014 | 2013-02-21 |
| 1730467739 | Rosy Charles | Licensed Practical Nurse | 201 Varick Street, New York, NY 10014 | 2011-07-26 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1558971929 | New Jersey Birdie Health PC | Internal Medicine | 330 E 38th St Apt 15c, New York, NY 10016-2769 | 2020-07-31 |
| 1972112456 | Daniel William Fitzgerald | Internal Medicine | 402 E 67th St Fl 2, New York, NY 10065-6304 | 2020-07-30 |
| 1346858222 | Sowell Health PC | Internal Medicine | 308 E 38th St Ste 200, New York, NY 10016-9825 | 2020-07-16 |
| 1417574062 | Bob Yeon Shim | Internal Medicine | 330 W 145th St Apt 605, New York, NY 10039-3095 | 2020-06-30 |
| 1891319810 | Careathome Medical Practice, PC | Internal Medicine | 287 Park Ave S Fl 3, New York, NY 10010-4573 | 2020-06-05 |
| 1487276473 | Alinea Medical Associates PC | Internal Medicine | 205 E 69th St Apt 1b, New York, NY 10021-5437 | 2020-05-12 |
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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.