Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

New York Physician PLLC

Organization General Practice Physician · NPI 1669804100

New York Physician PLLC provides General Practice Physician services in New York, New York. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

535 5th Ave Fl 4
New York, NY 10017-8020
Phone: (628) 260-5154
Fax: (855) 691-0403
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1669804100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sekuleo Gathers — Owner · (888) 970-3777
NPI enumeratedAugust 7, 2013
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address535 5th Ave Fl 4, New York, NY 10017-8020

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