139 MEDICAL FACILITY P C
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1235301631- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3418 BROADWAY, NEW YORK, NY, 100317419
- Phone
- (212) 283-2099
Specialties & Taxonomies
Pediatrics
License: NY #122027
Internal Medicine
Primary License: NY #238067
All Addresses
MAILING
3418 BROADWAY
NEW YORK, NY, 100317419