Provider
121 MEDICAL P.C.
Public NPPES listing with taxonomy: Family Medicine.
Resource details
Medicare status: Confirm directly
Unknown from NPPES
Source: NPPES NPI Registry
NPI: 1235762899
Taxonomy: Family Medicine (207Q00000X)
Source confidence: 58%
Medicare assignment: Unknown from NPPES
Address: 5030 BROADWAY STE 818, NEW YORK, NY, 100341670
Phone: 914-316-0487
Last verified: May 13, 2026