THE MED STATION PC
NPI 1992900583
Internal Medicine in Glen Cove, NY

Q: What is The Med Station PC's NPI number?

The NPI number for The Med Station PC is 1992900583. It was assigned to this organization in the NPPES registry on June 15, 2007.

Q: What is The Med Station PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 15, 2007

104 FOREST AVE, GLEN COVE, NY 11542(516) 759-5406(516) 759-5537 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About The Med Station Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE MED STATION PC (NPI 1992900583) is a healthcare organization registered as an internal medicine in Glen Cove, New York and active in the NPI registry since June 2007. The organization lists Russell H Samuel, Owner, as its authorized official.

NPPES Registry Identity

NPI1992900583

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameTHE MED STATION PC

Location Address104 FOREST AVEGlen Cove, NY 11542-2015

Mailing Address104 Forest AveGlen Cove, NY 11542-2015 · (516) 759-5406 · Fax (516) 759-5537

Phone(516) 759-5406

Fax(516) 759-5537

Organization SubpartNo

Authorized OfficialRussell H SamuelOwner · (516) 759-5406

Enumeration DateJune 15, 2007

Last NPPES UpdateMay 7, 2008

✔ NPI 1992900583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

104 FOREST AVE, Glen Cove, NY 11542

Open in Google Maps ↗

Other Identifiers 1

Medicare PINW2T6T1NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACLYN TERESCO PA

Physician Assistant (Medical)