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Organization
GLEN OAKS INTERNAL MEDICINE PC
Active
Organization
GLEN OAKS INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA KOURUKLIS M.D. (PRACTICE OWNER)
(718) 347-7090
Entity
Organization
Contact information
Practice address
26004 80TH AVE, GLEN OAKS, NY 11004-1502
(718) 347-7090
(718) 343-1453
Mailing address
26004 80TH AVE, GLEN OAKS, NY 11004-1502
(718) 347-7090
(718) 343-1453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
244811
NY
Other
Enumeration date
02/02/2015
Last updated
12/14/2015
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