Search › New York › 2085R0202X
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