Healthcare Provider Details

I. General information

NPI: 1487575403
Provider Name (Legal Business Name): CITYSCAPE MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 MADISON AVE FL 5
NEW YORK NY
10017-8102
US

IV. Provider business mailing address

301 MADISON AVE FL 5
NEW YORK NY
10017-8102
US

V. Phone/Fax

Practice location:
  • Phone: 718-415-8064
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: FELIX PACHECO
Title or Position: OWNER
Credential: MD
Phone: 347-645-4919