Provider

139 MEDICAL FACILITY P C

Public NPPES listing with taxonomy: Internal Medicine.

Resource details

Medicare status: Confirm directly

Unknown from NPPES

Source: NPPES NPI Registry

NPI: 1235301631

Taxonomy: Internal Medicine (207R00000X)

Source confidence: 58%

Medicare assignment: Unknown from NPPES

Address: 3418 BROADWAY, NEW YORK, NY, 100317419

Phone: 212-283-2099

Last verified: May 13, 2026