| Glenwood Medical Care Pllc | |
|
8806 Glenwood Rd Ste#1 Brooklyn NY 11236 | |
| (347) 295-2812 | |
| (347) 295-2813 |
| Full Name | Glenwood Medical Care Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8806 Glenwood Rd, Brooklyn, New York |
| Authorized Official Name and Position | Louis R. Belzie (CEO) |
| Authorized Official Contact | 3472952812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenwood Medical Care Pllc 88 Reeve Rd Rocklville Center NY 11570 Ph: (347) 295-2812 | Glenwood Medical Care Pllc 8806 Glenwood Rd Ste#1 Brooklyn NY 11236 Ph: (347) 295-2812 |
| NPI Number | 1013157247 |
|---|---|
| Provider Enumeration Date | 02/27/2009 |
| Last Update Date | 07/21/2011 |
| Medicare PECOS PAC ID | 8921273178 |
|---|---|
| Medicare Enrollment ID | O20111216000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013157247 | NPI | - | NPPES |
| 03305162 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 194326 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 194326 (New York) | Primary |
| Provider Name | Louis R Belzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861438681 PECOS PAC ID: 4789647835 Enrollment ID: I20041109000945 |
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