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

Boulevard Multispecialty Medical PC

Organization Multi-Specialty Clinic/Center · NPI 1730245366

Boulevard Multispecialty Medical PC is a Multi-Specialty Clinic/Center in Ozone Park, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10149 Woohaven Blvd
Ozone Park, NY 11416
Phone: (718) 641-4900
Fax: (718) 641-4905
Show map & directions

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

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X · Licence 24145 (NY)

Record details

NPI number1730245366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gordon Davis — Medical Director · (718) 641-4900
NPI enumeratedDecember 28, 2006
Last updated in NPPESAugust 22, 2020
Mailing address10149 Woohaven Blvd, Ozone Park, NY 11416

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