| Glen Oaks Internal Medicine Pc | |
|
26004 80th Ave Glen Oaks NY 11004-1502 | |
| (718) 347-7090 | |
| (718) 343-1453 |
| Full Name | Glen Oaks Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 26004 80th Ave, Glen Oaks, New York |
| Authorized Official Name and Position | Olga Kouruklis (PRACTICE OWNER) |
| Authorized Official Contact | 7183477090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Oaks Internal Medicine Pc 26004 80th Ave Glen Oaks NY 11004-1502 Ph: (718) 347-7090 | Glen Oaks Internal Medicine Pc 26004 80th Ave Glen Oaks NY 11004-1502 Ph: (718) 347-7090 |
| NPI Number | 1255721924 |
|---|---|
| Provider Enumeration Date | 02/02/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255721924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 244811 (New York) | Primary |
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