Provider profile · NPI 1770208076
115 E 64th Street Medical, Pllc
Internal Medicine, Cardiovascular Disease · New York, NY · NPI 1770208076 · 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, Cardiovascular Disease
Enumerated
Oct 10, 2022
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 115 E 64TH ST | New York, NY 10065-7071 | 415-999-3090 |
| LOCATION | 115 E 64TH ST | New York, NY 10065-7071 | 415-999-3090 |
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