Organization
GLENDALE FAMILY MEDICINE,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE SEBASTIANO MD (OWNER)
(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
207Q00000X
Family Medicine Physician
Primary
168147
NY
Other
Enumeration date
06/12/2007
Last updated
11/25/2015
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