Organization
GLENDALE FAMILY MEDICINE, PC
Active
Parent organization
GLENDALE FAMILY MEDICINE, PC
Other names
Glendale Family Medicine DBA Firstcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLENDALE FAMILY MEDICINE, PC
Authorized official
WAYNE R SEBASTIANO MD (OWNER/MEDICAL DIRECTOR)
(516) 554-7188
Entity
Organization
Contact information
Practice address
2360 GRAND AVE, BALDWIN, NY 11510-3111
(516) 546-2266
(516) 546-8098
Mailing address
2360 GRAND AVE, BALDWIN, NY 11510-3111
(516) 546-2266
(516) 546-8098
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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