Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Glow Wellness Care Medical PLLC

Organization Nephrology Physician · NPI 1245072909

Glow Wellness Care Medical PLLC provides Nephrology Physician services in East Northport, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3027 Jericho Tpke
East Northport, NY 11731-6230
Phone: (516) 665-1476
Fax: (516) 620-3773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1245072909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahab Khan — Md · (347) 476-7399
NPI enumeratedJune 12, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address3027 Jericho Tpke, East Northport, NY 11731-6230

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