# GLENDALE FAMILY MEDICINE, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GLENDALE FAMILY MEDICINE, PC
- **Other names:** Glendale Family Medicine Walk-In Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275978967
- **Legal business name:** GLENDALE FAMILY MEDICINE, PC
- **Authorized official:** DR. WAYNE ROBERT SEBASTIANO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (718) 386-8300

## Contact information

- **Practice address:** 7801 MYRTLE AVE, GLENDALE, NY 11385-7439
- **Practice address phone:** (718) 386-8300
- **Practice address fax:** (718) 386-0437
- **Mailing address:** 7801 MYRTLE AVE, GLENDALE, NY 11385-7439
- **Mailing address phone:** (718) 386-8300
- **Mailing address fax:** (718) 386-0437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 168147 | NY | Yes |

## Other

- **Enumeration date:** 05/08/2013
- **Last updated:** 05/29/2015