PHYSIO LOGIC MEDICINE, P.C. – NPI #1013293588
Clinic/Center

PHYSIO LOGIC MEDICINE, P.C. is an AHC clinic located in BROOKLYN, NY. NPPES has assigned the NPI number 1013293588 to PHYSIO LOGIC MEDICINE, P.C. on October 28, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 11 years ago on Apr 08, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHYSIO LOGIC MEDICINE, P.C. below.

NPI Profile for
PHYSIO LOGIC MEDICINE, P.C.

NPI Number
1013293588
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHYSIO LOGIC MEDICINE, P.C.
Primary location
409 FULTON STREET
2ND FLOOR
BROOKLYN, NY 11201
Phone: (718) 260-1000 Fax: (718) 260-0072
Mailing address
281 BROADWAY
2ND FLOOR
NEW YORK, NY 10007-1831
Phone: (718) 260-1000 Fax: (718) 260-0072
Organization Subpart
No
Authorized Official
JONATHANN KUO
PRESIDENT
Phone: (718) 260-1000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)		 NY 241732

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.