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GLENDALE FAMILY MEDICINE, PC 1528735453

Overview
Name: GLENDALE FAMILY MEDICINE, PC Specialty: Primary Care Clinic/Center Type of Practice: Organization Provider/Org: GLENDALE FAMILY MEDICINE, PC Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Primary Care. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: GLENDALE FAMILY MEDICINE, PC,2360 GRAND AVE,BALDWIN,NY,115103111,US Mailing Address: GLENDALE FAMILY MEDICINE, PC,2360 GRAND AVE,BALDWIN,NY,115103111,US
Contact #
Practice location phone #: 5165462266 Practice location fax #: 5165468098 Mailing address Phone #: 5165462266 Mailing Address fax #: 5165468098 Authorized official Name/Telephone #:WAYNE, R, SEBASTIANO, MD, OWNER/MEDICAL DIRECTOR 5165547188
Misc
Date NPI was obtained: 08/27/2021 Last data data was updated: 08/27/2021 Insurances:

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