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PHOTON MEDICAL GROUP
NPI 1972059749
Specialist in New York, NY

Active since August 31, 2016
808 COLUMBUS AVENUE, 21C, NEW YORK, NY 10025(646) 535-4180 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Photon Medical Group NPPES

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

PHOTON MEDICAL GROUP (NPI 1972059749) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since August 2016. The organization lists Alexis Young, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1972059749
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePHOTON MEDICAL GROUP
Location Address808 COLUMBUS AVENUE, 21CNew York, NY 10025-5169
Mailing Address808 Columbus Avenue, 21cNew York, NY 10025-5169 · (646) 535-4180
Phone(646) 535-4180
Organization SubpartNo
Authorized OfficialAlexis YoungMedical Director · (646) 535-4180
Enumeration DateAugust 31, 2016
✔ NPI 1972059749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 249723
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

808 COLUMBUS AVENUE, 21C, New York, NY 10025
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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

Frequently Asked Questions

What is PHOTON MEDICAL GROUP's NPI number?

The NPI number assigned to this healthcare provider is 1972059749, enumerated as an "organization" on August 31, 2016.

Where is the provider located?

The provider is located at 808 COLUMBUS AVENUE, 21C NEW YORK, NY 10025 and the phone number is (646) 535-4180.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.