OrganizationActive
1110 Pennsylvania Avenue Medical PLLC
NPI 1730638115 · Urgent Care Clinic/Center · Brooklyn, NY
Provider details
- NPI number
- 1730638115
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jacqueline Storey, Physician
Practice location
1110 Pennsylvania Ave
Suite 5
Brooklyn, NY 11207-9003
Phone: (646) 942-2842
Mailing address
1110 Pennsylvania Ave
Brooklyn, NY 11207-9003
Registry dates
- Enumerated
- 2016-09-27
- Last updated
- 2016-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.