Integrated Triborough Medical, Pllc

NPI 1154769669 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1154769669
Enumeration Date 06/06/2013
Last Updated 06/06/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name PERRY PERRY
Position OWNER
Phone (631) 271-9151
Fax (631) 271-9155
Practice Location
1000 NORTHERN BLVD
SUITE 175
GREAT NECK NY, 11021-5338, US
Phone (631) 271-9151
Fax (631) 271-9155
Business Location
1000 NORTHERN BLVD
SUITE 175
GREAT NECK NY, 11021-5338, US
Phone (631) 271-9151
Fax (631) 271-9155
Toxanomy
Taxonomy Code 2084N0400X
License State New York
License Number 179574
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According to our database, Integrated Triborough Medical, Pllc NPI is 1154769669, taxonomy code is 2084N0400X and license number is 179574, license state is located at New York. Integrated Triborough Medical, Pllc physically located at 1000 Northern Blvd, Great Neck NY, 11021-5338. NPI Number 1033115704 has the healthcare provider type.

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1154769669 NPI number is provided on an as is basis without warranty of any kind. 1154769669 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Triborough Medical, Pllc are for informational purposes only.