# GLENEIDA MEDICAL CARE,PC

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

## Provider details

- **NPI number:** 1952617649
- **Authorized official:** MICHAEL J BANK MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (845) 228-7000

## Contact information

- **Practice address:** 1579 MAIN ST, PLEASANT VALLEY, NY 12569-7838
- **Practice address phone:** (845) 635-8484
- **Practice address fax:** (845) 228-5485
- **Mailing address:** 91 GLENEIDA AVE, STE A, CARMEL, NY 10512-1222
- **Mailing address phone:** (845) 228-7000
- **Mailing address fax:** (845) 228-5485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/19/2010
- **Last updated:** 08/19/2010