# GLEN HEAD CHIROPRACTIC & PHYSICAL THERAPY, PLLC

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

## Provider details

- **NPI number:** 1922376862
- **Authorized official:** DR. FRANK COHEN DC (OWNER)
- **Authorized official phone:** (516) 759-2032

## Contact information

- **Practice address:** 189 FOREST AVE STE A, GLEN COVE, NY 11542-2068
- **Practice address phone:** (516) 759-2032
- **Practice address fax:** (516) 759-2117
- **Mailing address:** 189 FOREST AVE STE A, GLEN COVE, NY 11542-2068
- **Mailing address phone:** (516) 759-2032
- **Mailing address fax:** (516) 759-2117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 12/07/2011
- **Last updated:** 02/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0492010 | CIGNA / ORTHONET | NY |
| 01 | — | 1002695 | EMPIRE BLUE CROSS BLUE SHIELD | NY |
| 01 | — | 1053481168 | NPI | NY |
| 01 | — | 1629152921 | 1199 UNION | NY |
| 01 | — | 2416954 | GHI | NY |
| 01 | — | 2839005 | UNITED HEALTH CARE | NY |
| 01 | — | 320634 | AETNA | NY |
| 01 | — | 4964083 | CIGNA | NY |
| 01 | — | 535524 | UNITEDHEATLH CARE | NY |
| 01 | — | P4449350 | OXFORD | NY |
| 01 | — | P4467448 | OXFORD | NY |
| 01 | — | Q290L1 | EMPIRE BLUE CROSS BLUE SHIELD | NY |