| 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  |