OrganizationActive
139 Medical P.C.
NPI 1790076370 · Pediatrics Physician · New York, NY
Provider details
- NPI number
- 1790076370
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ka Li, Medical Provider(212) 925-4993
- License
- 214391 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
139 Centre St
Suite 618
New York, NY 10013-4552
Phone: (212) 925-4993
Fax: (212) 925-4665
Approximate (ZIP-level) locationGet directions
Mailing address
139 Centre St
New York, NY 10013-4552
Registry dates
- Enumerated
- 2011-04-29
- Last updated
- 2011-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.