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

Central Park Medical Practice

Organization Specialist · NPI 1396901468

Central Park Medical Practice is a Specialist in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

134 W 58th Street SUITE102
New York, NY 10019
Phone: (212) 974-0490
Fax: (212) 974-0493
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 245082 (NY)

Record details

NPI number1396901468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahnoz Rustamova — Md · (212) 974-0490
NPI enumeratedJuly 29, 2008
Last updated in NPPESJuly 29, 2008
Mailing address134 West, 58th Street, Suite 102, New York, NY 10019

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