Dr Loretto Glynn, MD | |
259 1st St, Mineola, NY 11501-3957 | |
(516) 663-4600 | |
Not Available |
Full Name | Dr Loretto Glynn |
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Gender | Female |
Speciality | Surgery - Pediatric Surgery |
Location | 259 1st St, Mineola, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235111014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 35914 (Oklahoma) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 036-083709 (Illinois) | Primary |
Entity Name | Rockford Health Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Mailing Address | Practice Location Address |
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Dr Loretto Glynn, MD 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 Ph: () - | Dr Loretto Glynn, MD 259 1st St, Mineola, NY 11501-3957 Ph: (516) 663-4600 |
Meher Oberoi, M.B.B.S. Surgery Medicare: Medicare Enrolled Practice Location: 259 1st St Ste 300, Mineola, NY 11501 Phone: 516-663-2521 | |
Dr. Viktor B Smirnov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Old Country Rd Ste 101, Mineola, NY 11501 Phone: 516-741-4138 | |
Alisha R Oropallo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Mineola Blvd, Suite 300, Mineola, NY 11501 Phone: 516-663-4400 Fax: 516-663-4404 | |
Dr. Narinder Paul Grewal, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 173 Mineola Blvd Ste 401, Mineola, NY 11501 Phone: 516-663-1145 | |
Dr. John Mcnelis, MD Surgery Medicare: Medicare Enrolled Practice Location: 120 Mineola Blvd, Mineola, NY 11501 Phone: 516-663-3300 Fax: 516-663-2780 | |
Eihab Nail Abdelfatah, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 120 Mineola Blvd Ste 320, Mineola, NY 11501 Phone: 516-663-2436 |