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LEGACY MEDICAL PLLC
NPI 1659628832
Psychiatry & Neurology - Neurology in New York, NY

Active since August 07, 2012
19 W 34TH ST, SUITE1200, NEW YORK, NY 10001(212) 924-7676(212) 924-7676 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY MEDICAL PLLC (NPI 1659628832) is a healthcare organization registered as a neurology in New York, New York and active in the NPI registry since August 2012. The organization lists Madhu Boppana, Owner, as its authorized official.

NPPES Registry Identity

NPI1659628832
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameLEGACY MEDICAL PLLC
Location Address19 W 34TH ST, SUITE1200New York, NY 10001-3006
Mailing Address19 West 34th Street, Suite1200New York, NY 10001-3006 · (212) 924-7676 · Fax (212) 531-6136
Phone(212) 924-7676
Fax(212) 924-7676
Organization SubpartNo
Authorized OfficialMadhu BoppanaOwner · (212) 924-7676
Enumeration DateAugust 7, 2012
✔ NPI 1659628832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 199052-1
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
19 W 34TH ST, New York, NY 10001
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOAN POELVOORDE LCSW PC
Social Worker (Clinical)
19 W 34TH ST, PENTHOUSE
NEW YORK, NY 10001
New York County (646) 473-0138
KERIN NADLER LCAT, BC-DMT
Dance Therapist
19 W 34TH ST, PENTHOUSE
NEW YORK, NY 10001
New York County (917) 597-8055
MS. LIBBY ANN SHAPIRO LCAT, MT-BC
Art Therapist
19 W 34TH ST
NEW YORK, NY 10001
New York County (917) 622-6371
MR. JACOB GERSHONI
Social Worker (Clinical)
19 W 34TH ST, SUITE PH
NEW YORK, NY 10001
New York County (212) 795-1192
MR. ROGER BACHRACH LMHC , LMSW
Counselor (Mental Health)
19 W 34TH ST, PENTHOUSE
NEW YORK, NY 10001
New York County (917) 902-9203
DR. PETER JOHN ROSAN PH. D.
Psychologist (Clinical)
19 W 34TH ST, PENTHOUSE
NEW YORK, NY 10001
New York County (718) 753-9400
ASHLEY YERIM CHOI
Social Worker (Clinical)
19 W 34TH ST
NEW YORK, NY 10001
New York County (347) 625-5020
DR. ISRAEL ROMANO PH.D.
Psychologist (Clinical)
19 W 34TH ST
NEW YORK, NY 10001
New York County (917) 292-5462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Medical PLLC's NPI number?

The NPI number for Legacy Medical PLLC is 1659628832. It was assigned to this organization in the NPPES registry on August 7, 2012.

Where is Legacy Medical PLLC located?

Legacy Medical PLLC is located at 19 W 34th St Suite1200, New York, NY 10001. The listed phone number is (212) 924-7676.

What is Legacy Medical PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Legacy Medical PLLC was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.