436 GWB MEDICAL OFFICE PC

NPI 1366952913 Active General Practice

Quick Facts

NPI Number

1366952913

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2017-10-10

Last Updated (NPPES)

2017-10-10

Primary Specialty / Taxonomy

Taxonomy	General Practice
Taxonomy Code	`208D00000X`

Other Taxonomies

Internal Medicine

Practice Address

436 FORT WASHINGTON AVE APT 1A
NEW YORK, NY 100333533

Phone: 212-923-0408

Fax: 212-923-7051

Mailing Address

435 FORT WASHINGTON AVE APT 2B
NEW YORK, NY 100333527

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.