DR. SEBASTIAN PAUL AVOLESE (NPI# 1710921051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710921051 |
| Entity Type | Individual |
| Full Name | DR. SEBASTIAN PAUL AVOLESE |
| Credential | M.D. |
| Practice Address |
7309 Myrtle Ave Glendale NY 11385-7431 |
| Practice Telephone | 7188214919 |
| Practice Fax Number | 7183660609 |
| Mailing Telephone | 7188214919 |
| Mailing Fax Number | 7183660609 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 142031 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00480722 | 05 |
| Street Address |
7309 MYRTLE AVE |
| City | GLENDALE |
| State | NY |
| Zip Code | 11385-7431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851352926 | Jason Chamikles | Legal Medicine | 7309 Myrtle Ave, Glendale, NY 11385-7418 | 2006-03-29 |
| 1215391883 | Ultrasonics Diagnostics LLC | Physiological Laboratory | 7309 Myrtle Ave, Glendale, NY 11385-7418 | 2016-04-11 |
| 1205232246 | Glendale Pediatrics P.C. | Pediatrics | 7309 Myrtle Ave, Glendale, NY 11385-7418 | 2014-11-18 |
| 1578852349 | Hetal Kantilal Vora | Physical Therapist | 7309 Myrtle Ave, Glendale, NY 11385-7413 | 2011-04-01 |
| 1477795623 | Debbie C Kaminer-furst | Audiologist | 7309 Myrtle Ave, Glendale, NY 11385-7413 | 2009-04-02 |
| 1134380066 | Abe Roa | Specialist | 7309 Myrtle Ave, Glendale, NY 11385-7418 | 2008-06-23 |
| 1073797924 | Elite Physical and Occupational Therapy Pllc | Occupational Therapist | 7309 Myrtle Ave, Lower Level, Glendale, NY 11385-7431 | 2007-12-27 |
| 1093899734 | Marc Alan Brenner | Podiatrist | 7309 Myrtle Ave, Glendale, NY 11385-7431 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.