Provider Demographics
NPI:1265424923
Name:NY FAMILY MEDICINE ASSOCIATES, PC
Entity type:Organization
Organization Name:NY FAMILY MEDICINE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMENDOLA-SEKINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-960-3805
Mailing Address - Street 1:30 CLINTON ST E
Mailing Address - Street 2:
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1810
Mailing Address - Country:US
Mailing Address - Phone:914-949-4661
Mailing Address - Fax:
Practice Address - Street 1:470 E FORDHAM RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5108
Practice Address - Country:US
Practice Address - Phone:718-960-3805
Practice Address - Fax:718-960-3806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG78659Medicare UPIN