Glen Medical Health, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

176195 Issued in NY

Legal business name

GLEN MEDICAL HEALTH, PC

Practice address

154 Forest Ave
Glen Cove, NY 11542-2023

Phone

(516) 759-5005

Fax

(516) 759-1509

NPI assigned

Oct 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Loretta M Siegel, M.D.

Title

President

Phone

(516) 759-5005

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093897142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 FOREST AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422023",
            "telephone_number": "516-759-5005",
            "fax_number": "516-759-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 FOREST AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422023",
            "telephone_number": "516-759-5005",
            "fax_number": "516-759-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN MEDICAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-759-5005",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "176195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Cove Hospital
• Glen Cove Pharm LLC
• Glen Cove Physical Medicine, PC
• Glen Cove Physical Therapy, P.C.
• Glen Head Chiropractic & Physical Therapy, PLLC
• Glencove OBGYN Associates
• Glengariff Corporation
• Glengariff Dialysis Center LLC
• Glengariff Operating LLC
• Florin Vasile Glodan, MD

• Specialist in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.