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

St Nicholas Medical PC

Organization Specialist · NPI 1912192394

St Nicholas Medical PC provides Specialist services in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Saint Nicholas Ave
Brooklyn, NY 11237-3474 Not confirmed with CMS for 17 years — call before visiting
Phone: (718) 418-8368
Fax: (718) 418-8716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 231830 (NY)

Record details

NPI number1912192394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Myat San — President · (718) 418-8368
NPI enumeratedSeptember 10, 2007
Last updated in NPPESOctober 9, 2008
Mailing address115 Saint Nicholas Ave, Brooklyn, NY 11237-3474

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