Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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77th St-5Th Ave Medical, PC

Organization Anesthesiology Physician · NPI 1467692244

77th St-5Th Ave Medical, PC is an Anesthesiology Physician in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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

452 77th St
Brooklyn, NY 11209-3256
Phone: (718) 921-5548
Fax: (718) 921-5781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 149213 (NY)

Record details

NPI number1467692244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eliot Zimbalist — Owner · (718) 921-5548
NPI enumeratedMarch 6, 2009
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021
Mailing addressPo Box 86, Jericho, NY 11753-0086

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