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: