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

North Broadway Medical PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1477809283

North Broadway Medical PC is a Physical Medicine & Rehabilitation Physician in Brooklyn, 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

1723 E 12th St Ste 5L
Brooklyn, NY 11229-1069
Phone: (718) 336-1242
Fax: (718) 336-1518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 218261 (NY)

Record details

NPI number1477809283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grigory Shtender — Incorporator/President · (718) 336-1242
NPI enumeratedJuly 30, 2012
Last updated in NPPESJuly 30, 2012
Mailing address1723 E 12th St, Suite 5l, Brooklyn, NY 11229-1069

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