Integrative Medical Wellness Pc

NPI 1174800478 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1174800478
Enumeration Date 11/15/2011
Last Updated 11/15/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RICHARD CARL RICHARD
Position PRINCIPAL
Phone (917) 903-4531
Fax
Practice Location
99 BUSINESS PARK DR
ARMONK NY, 10504-1720, US
Phone (917) 903-4531
Fax
Business Location
31 WOODMILL RD
CHAPPAQUA NY, 10514-1128, US
Phone (917) 903-4531
Fax
Toxanomy
Taxonomy Code 208100000X
License State New York
License Number 203547
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According to our database, Integrative Medical Wellness Pc NPI is 1174800478, taxonomy code is 208100000X and license number is 203547, license state is located at New York. Integrative Medical Wellness Pc physically located at 99 Business Park Dr, Armonk NY, 10504-1720. NPI Number 1033115704 has the healthcare provider type.

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1174800478 NPI number is provided on an as is basis without warranty of any kind. 1174800478 is maintained by the National Plan & Provider Enumeration System. The contents of Integrative Medical Wellness Pc are for informational purposes only.