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

Maiden Lane Medical, PLLC

Organization Gynecology Physician · NPI 1497291074

Maiden Lane Medical, PLLC is a Gynecology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
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

90 Maiden Ln Third Fl
New York, NY 10038-4831
Phone: (646) 290-9560
Fax: (212) 532-4362
Show map & directions

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

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 220289 (NY)

Record details

NPI number1497291074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Levey — President · (646) 290-9560
NPI enumeratedJanuary 6, 2017
Last updated in NPPESJanuary 6, 2017
Mailing address90 Maiden Ln, Third Floor, New York, NY 10038-4831

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