| Glen Oak Medical Care Pllc | |
|
26205 Hillside Ave Floral Park NY 11004-1756 | |
| (516) 270-4729 | |
| (516) 833-7470 |
| Full Name | Glen Oak Medical Care Pllc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 26205 Hillside Ave, Floral Park, New York |
| Authorized Official Name and Position | Saira Khalid Shahab (OWNER) |
| Authorized Official Contact | 5162704729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Oak Medical Care Pllc 126 Birch Dr New Hyde Park NY 11040-2320 Ph: (516) 270-4729 | Glen Oak Medical Care Pllc 26205 Hillside Ave Floral Park NY 11004-1756 Ph: (516) 270-4729 |
| NPI Number | 1871901298 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 07/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871901298 | NPI | - | NPPES |
| 02743593 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 230853-1 (New York) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 230853-1 (New York) | Primary |
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