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

Coney Island Medical Practice Plan, PC

Organization General Practice Physician · NPI 1386951762

Coney Island Medical Practice Plan, PC is a General Practice Physician in Brooklyn, New York. Registered with an NPI since 2010.

In the registry since
2010
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

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone: (718) 616-5354
Fax: (718) 579-6060
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1386951762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sudha Pentyala — Director · (631) 675-9300
NPI enumeratedSeptember 8, 2010
Last updated in NPPESSeptember 22, 2010
Mailing address234 E 149th St, Bronx, NY 10451-5504

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