# 936 FIFTH AVE MEDICAL OFFICE PLLC

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

## Provider details

- **NPI number:** 1811843840
- **Authorized official:** DR. MARC EVERETT MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 774-7715

## Contact information

- **Practice address:** 936 5TH AVE STE 1, NEW YORK, NY 10021-2653
- **Practice address phone:** (212) 774-7715
- **Mailing address:** 936 5TH AVE STE 1, NEW YORK, NY 10021-2653
- **Mailing address phone:** (212) 774-7715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2026
- **Last updated:** 03/10/2026