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

Private Medical New York, PC

Organization Internal Medicine Physician · NPI 1487203378

Private Medical New York, PC provides Internal Medicine Physician services in New York, New York. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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

110 E 60th St # 808
New York, NY 10022-1688
Phone: (917) 781-1919
Fax: (917) 722-1091
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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
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1487203378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Shlain — Ceo · (212) 473-7888
NPI enumeratedSeptember 4, 2019
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address110 E 60th St # 808, New York, NY 10022-1688

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