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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

787 MEDICAL PC

Active Organization

787 MEDICAL PC is a 202D00000X organization located in GLEN COVE, New York. NPI 1023801842 is currently active in the NPPES registry. Verify at CMS.

202D00000X · GLEN COVE, NY

Registration Details

NPI Number
1023801842
Provider Type
Organization
NPI Issued
May 24, 2025 (1.2400590210461 yrs)
Last Updated
May 24, 2025

Practice Information

Address
235 FOREST AVE
GLEN COVE, NY, 115422034
Browse NY providers · Browse ZIP 11542
Phone
5166717770
Fax
5166716372
Primary Specialty
202D00000X
202D00000X
Additional Specialty
202K00000X
Additional Specialty
Obesity Medicine
Additional Specialty
Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.