Organization
GLEN OAK MEDICAL CARE PLLC
Active
Organization
GLEN OAK MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAIRA KHALID SHAHAB M.D. (OWNER)
(516) 270-4729
Entity
Organization
Contact information
Practice address
26205 HILLSIDE AVE, FLORAL PARK, NY 11004-1756
(516) 270-4729
(516) 833-7470
Mailing address
126 BIRCH DR, NEW HYDE PARK, NY 11040-2320
(516) 270-4729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
230853-1
NY
207RI0200X
Infectious Disease Physician
Primary
230853-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02743593
—
NY
Enumeration date
07/29/2014
Last updated
07/29/2014
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