Organization
GLEN HEAD MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEODORO YU PANG MD (OWNER)
(516) 609-2908
Entity
Organization
Contact information
Practice address
333 GLEN HEAD RD, SUITE 150, OLD BROOKVILLE, NY 11545
(516) 609-2848
(516) 609-2908
Mailing address
333 GLEN HEAD RD, SUITE 150, OLD BROOKVILLE, NY 11545
(516) 609-2848
(516) 609-2908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
126797
NY
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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