Provider Demographics
NPI:1467507459
Name:GLICKEL, STEVEN Z (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:Z
Last Name:GLICKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 MADISON AVENUE 8TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-658-1122
Mailing Address - Fax:646-542-0544
Practice Address - Street 1:485 MADISON AVENUE 8TH FLOOR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-658-1122
Practice Address - Fax:646-542-0544
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60-147224207XS0106X
NY147224207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NS4430OtherOXFORD HEALTH PLAN
NY00824722Medicaid
NY00824722Medicaid
NS4430OtherOXFORD HEALTH PLAN