Integrated Triborough Medical, Pllc | |
1000 Northern Blvd Suite 175 Great Neck NY 11021-5338 | |
(631) 271-9151 | |
(631) 271-9155 |
Full Name | Integrated Triborough Medical, Pllc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 1000 Northern Blvd, Great Neck, New York |
Authorized Official Name and Position | Perry Stevens (OWNER) |
Authorized Official Contact | 6312719151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Integrated Triborough Medical, Pllc 1000 Northern Blvd Suite 175 Great Neck NY 11021-5338 Ph: (631) 271-9151 | Integrated Triborough Medical, Pllc 1000 Northern Blvd Suite 175 Great Neck NY 11021-5338 Ph: (631) 271-9151 |
NPI Number | 1154769669 |
---|---|
Provider Enumeration Date | 06/06/2013 |
Last Update Date | 06/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154769669 | NPI | - | NPPES |
179574 | Other | NY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 179574 (New York) | Primary |
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