OrganizationActive
936 Fifth Ave Medical Office PLLC
NPI 1811843840 · Medical Specialty Clinic/Center · New York, NY
Provider details
- NPI number
- 1811843840
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Marc Everett, Medical Director
Mailing address
936 5th Ave Ste 1
New York, NY 10021-2653
Registry dates
- Enumerated
- 2026-03-10
- Last updated
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.