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

Bethany Medical Clinic of New York, PLLC

Organization Internal Medicine Physician · NPI 1902173313

Bethany Medical Clinic of New York, PLLC is an Internal Medicine 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?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

222 E 31st St Ste 1R
New York, NY 10016-6333
Phone: (646) 509-0943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 262706-1 (NY)

Record details

NPI number1902173313
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shirin Peters — Owner · (336) 880-5915
NPI enumeratedNovember 30, 2011
Last updated in NPPESAugust 1, 2013
Mailing address222 E 31st St, Suite 1r, New York, NY 10016-6333

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