Provider
209 AVENUE P MEDICAL,PC
Public NPPES listing with taxonomy: Family Medicine.
Resource details
Medicare status: Confirm directly
Unknown from NPPES
Source: NPPES NPI Registry
NPI: 1124334008
Taxonomy: Family Medicine (207Q00000X)
Source confidence: 58%
Medicare assignment: Unknown from NPPES
Address: 209 AVENUE P, BROOKLYN, NY, 112044903
Phone: 718-259-6666
Last verified: May 18, 2026