HomeNPI Verification

NPI Verification

National Provider Identifier: 1235301631

139 Medical Facility P C

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Pediatrics

Code: 208000000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

3418 BROADWAY

NEW YORK, NY 100317419

NPI Enumeration Date

March 26, 2008

NPI Number

1235301631

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry