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

Ny Proactive Medicine PC

Organization General Practice Registered Nurse · NPI 1235920372

Ny Proactive Medicine PC is a General Practice Registered Nurse in New York, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
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

230 Park Ave Fl 3
New York, NY 10169-0018
Phone: (917) 310-5621
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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
General Practice Registered Nurse Taxonomy 163WG0000X
Internal Medicine Physician Taxonomy 207R00000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1235920372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Stein — President · (917) 310-5621
NPI enumeratedMay 16, 2025
Last updated in NPPESMay 16, 2025
Certification dateMay 13, 2025
Mailing address230 Park Ave Fl 3, New York, NY 10169-0018

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