| 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 | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| Provider Enumeration Date | 07/03/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689872491 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 126797 (New York) | Primary |