Glen Oaks Internal Medicine PC

NPI #1255721924 in Glen Oaks, New York

Provider Information

NPI Number: 1255721924
Entity Type: Organization
Organization Name: Glen Oaks Internal Medicine PC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 2, 2015
Last Updated: Dec 14, 2015

Practice Location

Address: 26004 80TH AVE
City: Glen Oaks
State: New York
ZIP Code: 11004-1502
Phone: (718) 347-7090

Authorized Official

Name: DR. OLGA KOURUKLIS, M.D.
Title: PRACTICE OWNER
Phone: (718) 347-7090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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