Provider Demographics
NPI:1043597263
Name:FAMILY MEDICINE NYC P.C.
Entity Type:Organization
Organization Name:FAMILY MEDICINE NYC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALSTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:917-409-7575
Mailing Address - Street 1:233 BAY RIDGE PKWY
Mailing Address - Street 2:3A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2403
Mailing Address - Country:US
Mailing Address - Phone:917-409-7575
Mailing Address - Fax:212-720-9037
Practice Address - Street 1:150 BROADWAY
Practice Address - Street 2:SUITE 1702
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4381
Practice Address - Country:US
Practice Address - Phone:917-721-6120
Practice Address - Fax:917-720-9037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY254838261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care