Healthcare Provider Details
I. General information
NPI: 1457275612
Provider Name (Legal Business Name): PACE SPORTS & JOINTS MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
415 E 37TH ST APT 8A
NEW YORK NY
10016-3209
US
IV. Provider business mailing address
415 E 37TH ST APT 8A
NEW YORK NY
10016-3209
US
V. Phone/Fax
- Phone: 347-414-6486
- Fax:
- Phone: 347-414-6486
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QS0010X |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FATON
BYTYCI
Title or Position: MD/PHYSICIAN
Credential: MD
Phone: 347-414-6486