← New Search
NEW YORK, NY 100317419
Organization
139 MEDICAL FACILITY P C
NPI 1235301631
Active
Internal Medicine
Quick Facts
NPI Number
1235301631
Type
Organization (NPI-2)
Status
Active
Enumeration Date
2008-03-26
Last Updated (NPPES)
2009-08-04
Primary Specialty / Taxonomy
| Taxonomy | Internal Medicine |
| Taxonomy Code | 207R00000X |
| License | 238067 NY |
Other Taxonomies
- Pediatrics — License 122027
Mailing Address
3418 BROADWAYNEW YORK, NY 100317419
Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.