787 MEDICAL PC

GLEN COVE, NY
NPI1023801842
Entity TypeOrganization
Authorized ContactMUHAMMAD JALALUDDIN
Director
210-268-5398
Organization Subpart ?No
Primary Taxonomy202D00000X Integrative Medicine
Additional Taxonomies207QA0401X Family Medicine, Addiction Medicine
363L00000X Nurse Practitioner
207T00000X Neurological Surgery
208VP0000X 
207R00000X Internal Medicine
163WP0000X Registered Nurse, Pain Management
202K00000X Phlebology
363A00000X Physician Assistant
208VP0014X Pain Medicine, Interventional Pain Medicine
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
207QB0002X Family Medicine, Bariatric Medicine
Enumeration Date2025-05-24
Last Update Date2026-04-01
Business Address
787 MEDICAL PC
235 FOREST AVE
GLEN COVE, NY 11542-2034
Phone number: 718-285-7023
Mailing Address
787 MEDICAL PC
217 OLD ITHACA RD
HORSEHEADS, NY 14845-1778
Phone number: 607-731-4644