Organization
GLENEIDA MEDICAL CARE,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J BANK MD (MEDICAL DIRECTOR)
(845) 228-7000
Entity
Organization
Contact information
Practice address
1579 MAIN ST, PLEASANT VALLEY, NY 12569-7838
(845) 635-8484
(845) 228-5485
Mailing address
91 GLENEIDA AVE, STE A, CARMEL, NY 10512-1222
(845) 228-7000
(845) 228-5485
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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