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

105 East 78 Street Medical

Organization Specialist · NPI 1578852588

105 East 78 Street Medical is a Specialist in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

885 Park Ave Ste 105
New York, NY 10075-0325
Phone: (212) 535-3313
Fax: (212) 734-3192
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 60112817 (NY)

Record details

NPI number1578852588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Everett Lautin — President · (212) 535-3313
NPI enumeratedMarch 30, 2011
Last updated in NPPESMarch 30, 2011
Mailing address885 Park Ave, Suite 105, New York, NY 10075-0325

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