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

Park South Medical PLLC

Organization Internal Medicine Physician · NPI 1427252626

Park South Medical PLLC is an Internal Medicine Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

1545 Unionport Rd Park South Medical
Bronx, NY 10462-7714
Phone: (718) 892-2201
Fax: (718) 828-9663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 146894 (NY)

Record details

NPI number1427252626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monte Ezratty — Owner · (718) 892-2201
NPI enumeratedJune 12, 2007
Last updated in NPPESJanuary 3, 2008
Mailing address1545 Unionport Rd, Park South Medical, Bronx, NY 10462-7714

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