Individual
DR. SEBASTIAN PAUL AVOLESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7309 MYRTLE AVE, GLENDALE, NY 11385-7431
(718) 821-4919
(718) 366-0609
Mailing address
7309 MYRTLE AVE, GLENDALE, NY 11385-7431
(718) 821-4919
(718) 366-0609
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
142031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00480722
—
NY
Enumeration date
06/16/2006
Last updated
12/30/2022
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