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

Metro Medical Practice PC

Organization Pediatric Adolescent Medicine Physician · NPI 1063098945

Metro Medical Practice PC is a Pediatric Adolescent Medicine Physician in Kew Gardens, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11607 Metropolitan Ave Ste 102
Kew Gardens, NY 11418-1018
Phone: (718) 850-9225
Fax: (718) 850-9226
Show map & directions

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

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1063098945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Wallach — Owner · (718) 850-9225
Other names Richmond Hill Pediatric Associates
NPI enumeratedMarch 22, 2021
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address11607 Metropolitan Ave Ste 102, Kew Gardens, NY 11418-1018