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

Legacy Medical PLLC

Organization Neurology Physician · NPI 1659628832

Legacy Medical PLLC is a Neurology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
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

19 W 34th St SUITE1200
New York, NY 10001-3006
Phone: (212) 924-7676
Fax: (212) 924-7676
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 199052-1 (NY)

Record details

NPI number1659628832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Madhu Boppana — Owner · (212) 924-7676
NPI enumeratedAugust 7, 2012
Last updated in NPPESAugust 7, 2012
Mailing address19 West 34th Street, Suite1200, New York, NY 10001-3006

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