# NY MED OF BROOKLYN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457011140
- **Authorized official:** RUSSELL GREENSEID DC (MEMBER)
- **Authorized official phone:** (718) 769-2521

## Contact information

- **Practice address:** 765 NOSTRAND AVE, BROOKLYN, NY 11216
- **Practice address phone:** (718) 263-3500
- **Practice address fax:** (718) 263-3565
- **Mailing address:** PO BOX 750250, FOREST HILLS, NY 11375-0250
- **Mailing address phone:** (718) 263-3500
- **Mailing address fax:** (718) 263-3565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2021
- **Last updated:** 03/24/2026