Organization
ST SEBASTIAN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXSANDER V BALDONADO (MD)
(347) 397-7563
Entity
Organization
Contact information
Practice address
20 W 190TH ST # W, BRONX, NY 10468-4356
(999) 999-9999
Mailing address
20 W 190TH ST # W, BRONX, NY 10468-4356
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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