# GLENRIDGE MEDICAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639236854
- **Authorized official:** DR. DEEPAK SETIA MD (PRESIDENT)
- **Authorized official phone:** (718) 821-1222

## Contact information

- **Practice address:** 385 SENECA AVE, RIDGEWOOD, NY 11385-1340
- **Practice address phone:** (718) 821-1222
- **Mailing address:** 385 SENECA AVE, RIDGEWOOD, NY 11385-1340
- **Mailing address phone:** (718) 821-1222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 132693 | NY | — |
| 207R00000X | Internal Medicine Physician | 231211 | NY | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 218001 | NY | — |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 09/11/2025