Glen Head Medical Pc | |
333 Glen Head Rd Suite 150 Old Brookville NY 11545 | |
(516) 609-2848 | |
(516) 609-2908 |
Full Name | Glen Head Medical Pc |
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Speciality | Internal Medicine |
Location | 333 Glen Head Rd, Old Brookville, New York |
Authorized Official Name and Position | Teodoro Yu Pang (OWNER) |
Authorized Official Contact | 5166092908 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Glen Head Medical Pc 333 Glen Head Rd Suite 150 Old Brookville NY 11545 Ph: (516) 609-2848 | Glen Head Medical Pc 333 Glen Head Rd Suite 150 Old Brookville NY 11545 Ph: (516) 609-2848 |
NPI Number | 1689872491 |
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Provider Enumeration Date | 07/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1689872491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 126797 (New York) | Primary |