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Dr. Sebastian Paul Avolese, MD
General Practice Physician in Glendale, New York
NPI 1710921051

Sebastian Paul Avolese is a General Practice Physician based in Glendale, NY. Sebastian Paul Avolese practices in Glendale, NY and has the professional credentials of MD. The NPI Number for Sebastian Paul Avolese is 1710921051 and holds a License No. 142031 (New York).

The current practice location address for Sebastian Paul Avolese is 7309 Myrtle Ave, Glendale, NY and can be reached out via phone at 718-821-4919 and via fax at 718-366-0609.

Location: 7309 Myrtle Ave, Glendale, NY, 11385-7431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710921051
Provider Name
Sebastian Paul Avolese
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7309 Myrtle Ave, Glendale, NY, 11385-7431
Phone Number
718-821-4919
Fax Number
718-366-0609
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00480722 05 NY
institution
Provider Business Practice Location Address Details
Address
7309 Myrtle Ave
City
Glendale
State
New York
Zip
11385-7431
Phone Number
718-821-4919
Fax Number
718-366-0609
person
Provider Business Mailing Address Details
Address
7309 Myrtle Ave
City
Glendale
State
New York
Zip
11385-7431
Phone Number
718-821-4919
Fax Number
718-366-0609
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
142031 (New York)
Definition
Definition to come...
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