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

Home Life Primary Care & Social Services

Organization Surgery Physician · NPI 1306656111

Home Life Primary Care & Social Services is a Surgery Physician in New York, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

80 Park Ave Apt 12P
New York, NY 10016-0282
Phone: (941) 806-9381
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1306656111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Brackman — Owner · (941) 806-9381
Other names Matthew Brackman Md
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address80 Park Ave Apt 12p, New York, NY 10016-0282

Other providers in New York