Family Medical Care of Glen Cove PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

176195 Issued in NY

Legal business name

FAMILY MEDICAL CARE OF GLEN COVE PC

Practice address

154 Forest Ave
Glen Cove, NY 11542-2023

Phone

(516) 801-1129

Fax

(516) 759-1509

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Loretta Mary Siegel, M.D.

Title

Doctor

Phone

(516) 801-1129

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1760598270",
    "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": "516-801-1129",
            "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": "516-801-1129",
            "fax_number": "516-759-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CARE OF GLEN COVE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "516-801-1129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "176195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01140147",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simileoluwa E Fadeyibi
• Diane Fahey, RPH
• Maria Androniki Fakatselis
• Natalie R Falk
• Carole Falletta, FNP
• Emily Fanara, FNP
• Brian Oliver Farrell, PT
• Jacqueline Farrigan, LMSW
• Jorge Farro, RD
• Tiffany Faustyna, MSW

• Legal Medicine in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.