Integrative Medical P.c.

NPI 1295859056 - Psychiatric Residential Treatment Facility - 323P00000X

NPI Details
NPI 1295859056
Enumeration Date 03/19/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TATIANA TATIANA
Position INCORPORATOR
Phone (212) 217-1516
Fax
Practice Location
30 W 63RD ST
SUITE 12 N
NEW YORK NY, 10023-7103, US
Phone (212) 217-1516
Fax
Business Location
30 W 63RD ST
SUITE 12 N
NEW YORK NY, 10023-7103, US
Phone
Fax
Toxanomy
Taxonomy Code 323P00000X
License State New York
License Number 215559
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According to our database, Integrative Medical P.c. NPI is 1295859056, taxonomy code is 323P00000X and license number is 215559, license state is located at New York. Integrative Medical P.c. physically located at 30 W 63rd St, New York NY, 10023-7103. NPI Number 1033115704 has the healthcare provider type.

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1295859056 NPI number is provided on an as is basis without warranty of any kind. 1295859056 is maintained by the National Plan & Provider Enumeration System. The contents of Integrative Medical P.c. are for informational purposes only.