Healthcare Provider Details

I. General information

NPI: 1366352106
Provider Name (Legal Business Name): NAVIGATOR FOR MEDICAL CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 E 96TH ST
NEW YORK NY
10128-3950
US

IV. Provider business mailing address

40 W 116TH ST PH A1102
NEW YORK NY
10026-2992
US

V. Phone/Fax

Practice location:
  • Phone: 917-862-2669
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: IRA REISER
Title or Position: OWNER
Credential: MD
Phone: 917-862-2669