Provider profile · NPI 1235301631

139 Medical Facility P C

Internal Medicine · New York, NY · NPI 1235301631 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Internal Medicine

Enumerated

Mar 26, 2008

License(s)

122027 (NY), 238067 (NY)

Addresses on file

PurposeAddressCity/StatePhone
MAILING3418 BROADWAY New York, NY 10031-7419
LOCATION3418 BROADWAY New York, NY 10031-7419212-283-2099

View on NPPES registry ↗

Watch this provider

Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.