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WALL STREET PHYSICIAN PLLC
NPI 1811240112
Internal Medicine in New York, NY

Active since October 24, 2012
111 BROADWAY, SUITE 402, NEW YORK, NY 10006(212) 784-0072(212) 784-0076 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wall Street Physician Pllc NPPES

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

WALL STREET PHYSICIAN PLLC (NPI 1811240112) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since October 2012. The organization lists Cathy A. Carron, President, as its authorized official.

NPPES Registry Identity

NPI1811240112
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWALL STREET PHYSICIAN PLLC
Location Address111 BROADWAY, SUITE 402New York, NY 10006-1901
Mailing Address111 Broadway, Suite 402New York, NY 10006-1901 · (212) 784-0072 · Fax (212) 784-0076
Phone(212) 784-0072
Fax(212) 784-0076
Organization SubpartNo
Authorized OfficialCathy A. CarronPresident · (212) 784-0072
Enumeration DateOctober 24, 2012
Last NPPES UpdateAugust 15, 2014
✔ NPI 1811240112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 1676231
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
111 BROADWAY, New York, NY 10006
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Other Identifiers 1

Medicare UPINA61524

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

MRS. KATRINA GUZMAN
Nurse Practitioner
111 BROADWAY, SUITE 504
NEW YORK, NY 10006
New York County (212) 537-5039
GAURI AMIN NP
Nurse Practitioner (Family)
111 BROADWAY
NEW YORK, NY 10006
New York County (212) 263-9700
SARAH-KATE ANDERSON REMS FNP-BC
Nurse Practitioner (Family)
111 BROADWAY, 1302
NEW YORK, NY 10006
New York County (212) 777-1510
RYAN SOBEL MD PC
Obstetrics & Gynecology (Gynecology)
111 BROADWAY, SUITE 1302
NEW YORK, NY 10006
New York County (917) 362-4223
SKY DENTAL, P.C.
Dentist (General Practice)
111 BROADWAY, SUITE 1304
NEW YORK, NY 10006
New York County (212) 600-1996
DR. DONALD INGERMAN D.D.S.
Dentist
111 BROADWAY, #1701
NEW YORK, NY 10006
New York County (212) 233-2095
DR. LIRON SPITZER MD
Dermatology
111 BROADWAY
NEW YORK, NY 10006
New York County (212) 263-9700
DR. JEFFREY A GOLDSTEIN M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
111 BROADWAY
NEW YORK, NY 10006
New York County (212) 263-9700

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 Wall Street Physician PLLC's NPI number?

The NPI number for Wall Street Physician PLLC is 1811240112. It was assigned to this organization in the NPPES registry on October 24, 2012.

Where is Wall Street Physician PLLC located?

Wall Street Physician PLLC is located at 111 Broadway Suite 402, New York, NY 10006. The listed phone number is (212) 784-0072.

What is Wall Street Physician PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Wall Street Physician PLLC was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.