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

Medical Practice Ny PC

Organization Group Psychotherapy Psychologist · NPI 1437494648

Medical Practice Ny PC is a Group Psychotherapy Psychologist in Fresh Meadows, 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6923 168th St
Fresh Meadows, NY 11365-3213
Phone: (718) 755-0656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Group Psychotherapy Psychologist (primary) Taxonomy 103TP2701X · Licence 185185 (NY)

Record details

NPI number1437494648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yelena Mamedova Braz — Md · (718) 755-0656
NPI enumeratedNovember 29, 2012
Last updated in NPPESNovember 29, 2012
Mailing address95-20 63 Rd Road Suite H, Rego Park, NY 11374

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