| Willow Park Medical Health Pc | |
|
4 Farmwoods Ln Glen Head NY 11545-2730 | |
| (516) 507-7593 | |
| Not Available |
| Full Name | Willow Park Medical Health Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4 Farmwoods Ln, Glen Head, New York |
| Authorized Official Name and Position | Azmat Iqbal (PHYSICIAN) |
| Authorized Official Contact | 5165077593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Park Medical Health Pc 4 Farmwoods Ln Glen Head NY 11545-2730 Ph: (516) 507-7593 | Willow Park Medical Health Pc 4 Farmwoods Ln Glen Head NY 11545-2730 Ph: (516) 507-7593 |
| NPI Number | 1063219475 |
|---|---|
| Provider Enumeration Date | 02/25/2025 |
| Last Update Date | 02/25/2025 |
| Medicare PECOS PAC ID | 3577085901 |
|---|---|
| Medicare Enrollment ID | O20250314002070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063219475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Azmat Iqbal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669490314 PECOS PAC ID: 1355345356 Enrollment ID: I20060906000187 |
| Provider Name | Zeba Iftekhar Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649743634 PECOS PAC ID: 1557772894 Enrollment ID: I20201118000550 |
Mamta H Parikh Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Evans Dr, Glen Head, NY 11545 Phone: 516-216-9160 | |
T.ravishankar Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 997 Glen Cove Ave, Glen Head, NY 11545 Phone: 516-674-9144 Fax: 516-674-4024 | |
Ghazanfar W. Haidery Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 997 Glen Cove Ave, Glen Head, NY 11545 Phone: 516-676-1500 Fax: 516-759-5946 | |
Michael B Capobianco Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Park Plz Ste 1, Glen Head, NY 11545 Phone: 516-801-0334 | |
Manoj Trehan Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9 Bridle Path Ct, Glen Head, NY 11545 Phone: 516-308-3238 Fax: 516-342-5716 |