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Organization
ST. SEBASTIAN MEDICAL PC
Active
Organization
ST. SEBASTIAN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER VERONA BALDONADO MD (OWNER)
(718) 657-0412
Entity
Organization
Contact information
Practice address
16836 JAMAICA AVE, JAMAICA, NY 11432-5216
(718) 657-0412
(718) 657-0415
Mailing address
16836 JAMAICA AVE, JAMAICA, NY 11432-5216
(718) 657-0412
(718) 657-0415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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