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

Pride Medical, PLLC

Organization Primary Care Clinic/Center · NPI 1922214600

Pride Medical, PLLC is a Primary Care Clinic/Center in New York, 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

3875 Broadway Unit B
New York, NY 10032-1567
Phone: (917) 656-2951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X (NY)

Record details

NPI number1922214600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Punyadech Photangtham — Owner · (917) 656-2951
NPI enumeratedMay 16, 2007
Last updated in NPPESNovember 23, 2015
Mailing address3875 Broadway, Unit B, New York, NY 10032-1567

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