Organization
AUDUBON PRIMARY CARE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR DARIO REYES MBA (ADMINISTRATOR)
(917) 771-9827
Entity
Organization
Contact information
Practice address
325 AUDUBON AVE, NEW YORK, NY 10033-4204
(212) 281-9472
Mailing address
325 AUDUBON AVE, NEW YORK, NY 10033-4245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
Primary
255626
NY
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02932589
—
NY
Enumeration date
05/08/2013
Last updated
03/23/2026
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