Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glen Oaks Internal Medicine PC

Organization Internal Medicine Physician · NPI 1255721924

Glen Oaks Internal Medicine PC is an Internal Medicine Physician in Glen Oaks, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

26004 80th Ave
Glen Oaks, NY 11004-1502
Phone: (718) 347-7090
Fax: (718) 343-1453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 244811 (NY)

Record details

NPI number1255721924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olga Kouruklis — Practice Owner · (718) 347-7090
NPI enumeratedFebruary 2, 2015
Last updated in NPPESDecember 14, 2015
Mailing address26004 80th Ave, Glen Oaks, NY 11004-1502

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