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

Ny Family Medicine PC

Organization Family Medicine Physician · NPI 1205563319

Ny Family Medicine PC is a Family Medicine Physician in Flushing, New York. Registered with an NPI since 2022.

In the registry since
2022
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

14809 Northern Blvd Ste 1K
Flushing, NY 11354-4308
Phone: (347) 506-0325
Fax: (347) 506-0314
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1205563319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Park — Owner · (347) 506-0325
NPI enumeratedAugust 8, 2022
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022
Mailing address14809 Northern Blvd Ste 1k, Flushing, NY 11354-4308

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