SearchNew York2085R0202X

Dallas Broadway, M.D

NPI 1366646416 · on the registry since 2007 · sole proprietor

Practice

Address
622 W 168th St, New York, Ny 10032
New York, NY 10032
Phone
(877) 426-5637
Clinicians at this address
3

Additional practice sites

  • 13813 Metro Pkwy, Fort Myers, FL

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
2085R0202X
261QA1903X
261QA1903X
2085R0204X
Licence states on file
FL, NJ, NY, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York