Organization
GLENDALE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISON MCCABE (OFFICE MANAGER)
(718) 386-9876
Entity
Organization
Contact information
Practice address
6835 MYRTLE AVE, GLENDALE, NY 11385-7234
(718) 386-9876
(718) 628-0108
Mailing address
6835 MYRTLE AVE, GLENDALE, NY 11385-7234
(718) 386-9876
(718) 628-0108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
05/06/2008
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