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1720513427
ST. SEBASTIAN MEDICAL PC
JAMAICA, NY
NPI
1720513427
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Entity Type
Organization
Authorized Contact
ALEXANDER VERONA BALDONADO
Owner
718-657-0412
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2017-05-01
Last Update Date
2017-05-01
Business Address
ST. SEBASTIAN MEDICAL PC
16836 JAMAICA AVE
JAMAICA, NY 11432-5216
Phone number: 718-657-0412
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Mailing Address
ST. SEBASTIAN MEDICAL PC
16836 JAMAICA AVE
JAMAICA, NY 11432-5216
Phone number: 718-657-0412
Copy
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