| St. Sebastian Medical Pc | |
|
16836 Jamaica Ave Jamaica NY 11432-5216 | |
| (718) 657-0412 | |
| (718) 657-0415 |
| Full Name | St. Sebastian Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 16836 Jamaica Ave, Jamaica, New York |
| Authorized Official Name and Position | Alexander Verona Baldonado (OWNER) |
| Authorized Official Contact | 7186570412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Sebastian Medical Pc 16836 Jamaica Ave Jamaica NY 11432-5216 Ph: (718) 657-0412 | St. Sebastian Medical Pc 16836 Jamaica Ave Jamaica NY 11432-5216 Ph: (718) 657-0412 |
| NPI Number | 1720513427 |
|---|---|
| Provider Enumeration Date | 05/01/2017 |
| Last Update Date | 05/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720513427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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