GLEN HEAD MEDICAL PC (NPI# 1689872491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689872491 |
| Entity Type | Organization |
| Organization Name | GLEN HEAD MEDICAL PC |
| Practice Address |
333 Glen Head Rd Suite 150 Old Brookville NY 11545 |
| Practice Telephone | 5166092848 |
| Practice Fax Number | 5166092908 |
| Mailing Telephone | 5166092848 |
| Mailing Fax Number | 5166092908 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TEODORO YU PANG (OWNER) |
| Authorized Official Telephone | 5166092908 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 126797 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
333 GLEN HEAD RD SUITE 150 |
| City | OLD BROOKVILLE |
| State | NY |
| Zip Code | 11545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104013648 | Timothy Li | Acupuncturist | 333 Glen Head Rd, Ste 150, Old Brookville, NY 11545 | 2007-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896350 | Ian Persits | Student in an Organized Health Care Education/Training Program | Hannah and Charles Serota Academic Center, Glen Head, NY 11545 | 2020-03-13 |
| 1699279281 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 711 Glen Cove Rd, Glen Head, NY 11545 | 2018-03-20 |
| 1164944559 | Kevin Wong | Specialist | 14 Rini Road, Glen Head, NY 11545 | 2017-07-07 |
| 1992237994 | Humaira Ali | Student in an Organized Health Care Education/Training Program | 214 Brookville Road, Glen Head, NY 11545 | 2017-03-29 |
| 1659727006 | Ana Wegmann | Specialist | 17 Chapel Gate Lane, Glen Head, NY 11545 | 2016-05-04 |
| 1427452226 | Jane Zwilling | Psychologist | 11 Wenwood Drive, Brookville, NY 11545 | 2014-10-22 |
| 1619387354 | Gillian Meketansky | Speech-Language Pathologist | 101 Northern Blvd, Glen Hed, NY 11545 | 2014-05-03 |
| 1174861819 | Monique A. Vaccaro | Speech-Language Pathologist | 36 Cherry Street, Glen Head, NY 11545 | 2013-01-30 |
| 1467704676 | Lisette Perez | Licensed Practical Nurse | 189 Wheatley Rd., Brookville, NY 11545 | 2012-10-11 |
| 1952666323 | Catherine Forsander | Specialist | 14 Hillside Avenue, Glen Head, NY 11545 | 2012-07-11 |
| Find all providers in zip 11545 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1295348019 | Vault Medical Group Pa | Internal Medicine | 133 E 58th St Ste 512, New York, NY 10022-1145 | 2020-08-31 |
| 1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
| 1205447745 | Princeton Longevity Medical of New York Pllc | Internal Medicine | 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | OLD BROOKVILLE |
| Zip Code | 11545 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.