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Organization
GLENDALE FAMILY MEDICINE, PC
Active
Organization
GLENDALE FAMILY MEDICINE, PC
Active
Parent organization
GLENDALE FAMILY MEDICINE, PC
Other names
Glendale Family Medicine Walk-In Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLENDALE FAMILY MEDICINE, PC
Authorized official
DR. WAYNE ROBERT SEBASTIANO MD (MEDICAL DIRECTOR)
(718) 386-8300
Entity
Organization
Contact information
Practice address
7801 MYRTLE AVE, GLENDALE, NY 11385-7439
(718) 386-8300
(718) 386-0437
Mailing address
7801 MYRTLE AVE, GLENDALE, NY 11385-7439
(718) 386-8300
(718) 386-0437
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
168147
NY
Other
Enumeration date
05/08/2013
Last updated
05/29/2015
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