Integrated Care Group Llc

LBN: Integrated Care Group Llc
Integrated Care Group Llc is an health care organization with primary practice located at 363 Route 111 Ste 107 , Smithtown NY 11787-4750. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Integrated Care Group Llc can be contacted via phone (631) 209-4255, or through Peterson, Rose via phone (631) 209-4255.

Contact Information

Primary practice address
363 Route 111 Ste 107 Smithtown NY 11787-4750
Phone: (631) 209-4255
Fax: (631) 693-3313
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Rose NPP
Phone: (631) 209-4255

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1154097269
LBN Legal business name Integrated Care Group Llc
DBA Doing business as
Authorized official Peterson, Rose NPP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2021
Last updated Aug 18th, 2021 - about 3 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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