National Provider Identifier
Myron Lynn Glick, MD
Myron Lynn Glick, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (716) 881-6191.
Profile Overview
- NPI
- 1730256942
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- November 30, 2006
- Last Updated
- October 28, 2015
Practice Location
- 184 Barton St
- Buffalo, NY 14213-1573
Phone: (716) 881-6191
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1730256942
- Entity Type
- Individual
- Last Name
- Glick
- First Name
- Myron
- Middle Name
- Lynn
- Credential
- MD
- Mailing Street Address
- 184 Barton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1573
- Mailing Country
- US
- Mailing Phone
- (716) 881-6191
- Mailing Fax
- (716) 881-6247
- Practice Street Address
- 184 Barton St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1573
- Practice Country
- US
- Practice Phone
- (716) 881-6191
- Practice Fax
- (716) 881-6247
- Enumeration Date
- November 30, 2006
- Last Updated
- October 28, 2015
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- J400194611 (NY, Medicare), 01706312 (NY)