Organization
GLENRIDGE MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK SETIA MD (PRESIDENT)
(718) 821-1222
Entity
Organization
Contact information
Practice address
385 SENECA AVE, RIDGEWOOD, NY 11385-1340
(718) 821-1222
Mailing address
385 SENECA AVE, RIDGEWOOD, NY 11385-1340
(718) 821-1222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
132693
NY
207R00000X
Internal Medicine Physician
Primary
231211
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
218001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02396716
—
NY
Enumeration date
01/03/2007
Last updated
09/11/2025
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