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

Village Family Practice

Organization Primary Care Clinic/Center · NPI 1104182880

Village Family Practice is a Primary Care Clinic/Center in New York, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

30 5th Ave 1E
New York, NY 10011-8859
Phone: (212) 477-1750
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 166998 (NY)

Record details

NPI number1104182880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Clements — President · (212) 477-1750
Other names Village Travel Medicine
NPI enumeratedApril 6, 2012
Last updated in NPPESApril 6, 2012
Mailing address30 5th Ave, 1e, New York, NY 10011-8859

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