DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: 787 MEDICAL PC

MEDICARE: 787 MEDICAL PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0401XAddiction Medicine (Family Medicine) Physician
2363L00000XNurse Practitioner
3207T00000XNeurological Surgery Physician
4208VP0000XPain Medicine Physician
5207R00000XInternal Medicine Physician
6163WP0000XPain Management Registered Nurse
7202K00000XPhlebology Physician
8363A00000XPhysician Assistant
9208VP0014XInterventional Pain Medicine Physician
102081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician
11207QB0002XObesity Medicine (Family Medicine) Physician
12202D00000XIntegrative Medicine Physician

General Provider Information

NPI Number : 1023801842
Entity Type Code : Organization
Provider Name (Legal Business Name) : 787 MEDICAL PC
Provider Business Mailing Address
First Line : 217 OLD ITHACA RD
Second Line :
City : HORSEHEADS
State : NY
Zip : 14845-1778
Country : US
Telephone Number : 607-731-4644
Fax Number :
Provider Business Practice Location Address
First Line : 235 FOREST AVE
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2034
Country : US
Telephone Number : 718-285-7023
Fax Number : 516-671-6372
Authorized Official
Title or Position : DIRECTOR
Name : MUHAMMAD JALALUDDIN
Credential : MD
Telephone Number : 210-268-5398
Provider Enumeration Date : 05/24/2025
Last Update Date : 04/01/2026

Similar Medicare Providers

1821955279 — MRS. JENNIFER DIAZ PA-C
Practice Location Address:
235 FOREST AVE
GLEN COVE, NY
11542-2034
Practice Phone: 516-463-6600
Practice Fax:
1598830531 — NORTH NASSAU MEDICAL ASSOCIATES
Practice Location Address:
235 FOREST AVE
GLEN COVE, NY
11542-2034
Practice Phone: 516-671-7770
Practice Fax: 516-671-6372
1538234570 — DR. PETER J KURZWEIL MD
Practice Location Address:
235 FOREST AVE
GLEN COVE, NY
11542-2034
Practice Phone: 516-671-7770
Practice Fax: 516-671-6372
1215138201 — PETER J. KURZWEIL, M.D., P.C.
Practice Location Address:
235 FOREST AVE
GLEN COVE, NY
11542-2034
Practice Phone: 516-671-7770
Practice Fax:
1750636635 — DR. KHAWAJA ASIM SIDDIQUE MD
Practice Location Address:
235 FOREST AVE
GLEN COVE, NY
11542-2034
Practice Phone: 516-671-7770
Practice Fax: 516-671-6372
1881424885 — CRESCENT INTEGRATIVE MEDICAL PLLC
Practice Location Address:
235 FOREST AVE
GLEN COVE, NY
11542-2034
Practice Phone: 516-671-7770
Practice Fax:

Directions to “787 MEDICAL PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.