| Glendale Medical Associates Pc | |
|
7401 Myrtile Ave Glendale NY 11385-7433 | |
| (718) 821-5500 | |
| (718) 456-0778 |
| Full Name | Glendale Medical Associates Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7401 Myrtile Ave, Glendale, New York |
| Authorized Official Name and Position | Ronald Langman (OWNER) |
| Authorized Official Contact | 7188215500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Medical Associates Pc 7401 Myrtile Ave Glendale NY 11385-7433 Ph: (718) 821-5500 | Glendale Medical Associates Pc 7401 Myrtile Ave Glendale NY 11385-7433 Ph: (718) 821-5500 |
| NPI Number | 1972666352 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 12/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972666352 | NPI | - | NPPES |
| 01579304 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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