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