East Side Integrative Medicine Pc

LBN: East Side Integrative Medicine Pc
East Side Integrative Medicine Pc is an health care organization with primary practice located at 1 Barker Ave Ste 200 , White Plains NY 10601-1523. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Adult Mental Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. East Side Integrative Medicine Pc can be contacted via phone (845) 422-6504, or through Medrano, Benjamin James via phone (720) 251-9215.

Contact Information

Primary practice address
1 Barker Ave Ste 200 White Plains NY 10601-1523
Phone: (845) 422-6504
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Medrano, Benjamin James
Phone: (720) 251-9215

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1659081461
LBN Legal business name East Side Integrative Medicine Pc
DBA Doing business as
Authorized official Medrano, Benjamin James
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2022
Last updated Jul 10th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659081461 NPPES
New York Other 284877 PSYCHIATRIST

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