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

New York Physician PLLC

Organization General Practice Physician · NPI 1669804100

New York Physician PLLC is a General Practice Physician in New York, New York. Registered with an NPI since 2013.

In the registry since
2013
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

535 5th Ave Fl 4
New York, NY 10017-8020
Phone: (628) 260-5154
Fax: (855) 691-0403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1669804100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sekuleo Gathers — Owner · (888) 970-3777
NPI enumeratedAugust 7, 2013
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address535 5th Ave Fl 4, New York, NY 10017-8020

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