NPI

Coney Island Medical Practice Plan, P.C.

Phone (718) 616-5354 · Fax (718) 579-6060 · NPI 1386951762

Read from the NPPES registry on October 25, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2010-09-08
Last updated
2010-09-22

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
2601 Ocean Pkwy
City
Brooklyn NY
Postal code
11235-7745
Phone
(718) 616-5354
Fax
(718) 579-6060

Organization contact

Name
Sudha Pentyala
Title
Director
Phone
(631) 675-9300

Medicare

PECOS
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LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

General Practitioners in Brooklyn, NY. 159 with this primary taxonomy in the public file.

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