| NPI | 1528735453 |
|---|---|
| Doing Business As | GLENDALE FAMILY MEDICINE DBA FIRSTCARE |
| Entity Type | Organization |
| Authorized Contact | WAYNE R SEBASTIANO Owner/Medical Director 516-554-7188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-08-27 |