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

Avenue Medical Wellness PC

Organization Family Medicine Physician · NPI 1871252890

Avenue Medical Wellness PC is a Family Medicine Physician in New York, New York. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
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

535 5th Ave Rm 603
New York, NY 10017-8009
Phone: (646) 200-5750
Fax: (833) 322-1167
Show map & directions

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

Additional practice locations (1)

  • 116 E 63rd St Apt 1a, New York, NY 10065-7265 — (646) 200-5750

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1871252890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Wallman — Lead Physician · (646) 200-5750
Other names The Lanby
NPI enumeratedDecember 17, 2021
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address535 5th Ave Rm 603, New York, NY 10017-8009

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