| 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 |