Organization · Type 2 NPI

Matrix Medical of New York PC

Nurse Practitioner · New York, NY

NPI number 1639433063 Active

Practice location

1740 Broadway
New York, NY 10019-4315

Call (480) 862-1677 Map

Fax (480) 718-7643

Mailing address

424 Church St Ste 220
Nashville, TN 37219-2464

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

Other nurse practitioner providers in New York

See all in New York →

About NPI 1639433063

Matrix Medical of New York PC's National Provider Identifier is 1639433063, issued on Jun 29, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on Oct 9, 2025.