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

139 Medical PC

Organization Pediatrics Physician · NPI 1790076370

139 Medical PC is a Pediatrics Physician in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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

139 Centre St Ste 618
New York, NY 10013-4552
Phone: (212) 925-4993
Fax: (212) 925-4665
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 214391 (NY)

Record details

NPI number1790076370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ka Li — Medical Provider · (212) 925-4993
NPI enumeratedApril 29, 2011
Last updated in NPPESDecember 2, 2011
Mailing address139 Centre St, Suite 618, New York, NY 10013-4552

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