# MEDSTATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346783586
- **Authorized official:** DEBBIE FELICIANO (MD)
- **Authorized official phone:** (516) 759-5406

## Contact information

- **Practice address:** 104 FOREST AVE, GLEN COVE, NY 11542-2015
- **Practice address phone:** (516) 759-5406
- **Mailing address:** 104 FOREST AVE, GLEN COVE, NY 11542-2015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 020394 | NY | Yes |

## Other

- **Enumeration date:** 11/21/2016
- **Last updated:** 11/21/2016