Active NPI
GC Medical P.C.
- Pain Medicine Physician
- Glen Cove, NY
National Provider Identifier
1750698197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- GC MEDICAL P.C.
- Practice address
- 3 Brewster St
Glen Cove, NY 11542-2510 - Phone
- (516) 759-7702
- Fax
- (516) 674-0572
- NPI assigned
- Sep 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Molly Walker
- Title
- Manager
- Phone
- (516) 385-1525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
3 Brewster St
Glen Cove, NY 11542-2510
Mailing address
3 Brewster St
Glen Cove, NY 11542-2510
Phone (516) 759-7702
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283817600000",
"number": "1750698197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BREWSTER ST",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422510",
"telephone_number": "516-759-7702",
"fax_number": "516-674-0572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BREWSTER ST",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422510",
"telephone_number": "516-759-7702",
"fax_number": "516-674-0572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GC MEDICAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-07",
"last_updated": "2010-09-07",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "MOLLY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "516-385-1525"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.