Glen Oak Medical Care Pllc | |
262-05 Hillside Ave Glen Oaks NY 11004 | |
(718) 343-6100 | |
(516) 833-7470 |
Full Name | Glen Oak Medical Care Pllc |
---|---|
Speciality | Internal Medicine |
Location | 262-05 Hillside Ave, Glen Oaks, New York |
Authorized Official Name and Position | Saira K Shahab (OWNER) |
Authorized Official Contact | 5162704742 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Glen Oak Medical Care Pllc 26205 Hillside Ave Glen Oaks NY 11004-1756 Ph: (718) 343-6100 | Glen Oak Medical Care Pllc 262-05 Hillside Ave Glen Oaks NY 11004 Ph: (718) 343-6100 |
NPI Number | 1316311608 |
---|---|
Provider Enumeration Date | 11/24/2015 |
Last Update Date | 05/25/2016 |
Medicare PECOS PAC ID | 8224327770 |
---|---|
Medicare Enrollment ID | O20160523001758 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316311608 | NPI | - | NPPES |
2743593 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 230853-1 (New York) | Primary |
Provider Name | Saira K Shahab |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1144271784 PECOS PAC ID: 7416058284 Enrollment ID: I20070724000029 |
Eldad S. Benmen M.d. P.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26021 Union Tpke, Glen Oaks, NY 11004 Phone: 718-347-4288 Fax: 718-347-7521 | |
Glen Oaks Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26004 80th Ave, Glen Oaks, NY 11004 Phone: 718-347-7090 Fax: 718-343-1453 | |
Glen Oaks Medical Associate Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25710 Union Tpke, Glen Oaks, NY 11004 Phone: 718-343-7200 Fax: 718-343-5834 | |
Qaiser Abbas Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26310 Hillside Ave, Glen Oaks, NY 11004 Phone: 718-749-5921 Fax: 718-749-5835 |