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

Union Square Medical Practice PC

Organization Internal Medicine Physician · NPI 1215592670

Union Square Medical Practice PC is an Internal Medicine Physician in New York, New York. Registered with an NPI since 2019.

In the registry since
2019
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

55 W 17th St
New York, NY 10011-5513
Phone: (212) 427-8761
Fax: (212) 427-8762
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1215592670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Laza — Billing Manager · (646) 829-1392
NPI enumeratedMay 1, 2019
Last updated in NPPESMay 1, 2019
Mailing address121 W 27th St Ste 504, New York, NY 10001-6207

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