Integrated Triborough Medical, Pllc

LBN: Integrated Triborough Medical, Pllc
Integrated Triborough Medical, Pllc is an health care organization with primary practice located at 1000 Northern Blvd Suite 175, Great Neck NY 11021-5338. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Integrated Triborough Medical, Pllc can be contacted via phone (631) 271-9151, or through Stevens, Perry via phone (631) 271-9151.

Contact Information

Primary practice address
1000 Northern Blvd Suite 175 Great Neck NY 11021-5338
Phone: (631) 271-9151
Fax: (631) 271-9155
Website:
Map and Directions
Authorized official contact:
Name: Stevens, Perry Doctor of Medicine (MD)
Phone: (631) 271-9151

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 179574 New York

Profile Details

NPI number 1154769669
LBN Legal business name Integrated Triborough Medical, Pllc
DBA Doing business as
Authorized official Stevens, Perry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2013
Last updated Jun 6th, 2013 - about 12 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 1154769669 NPPES
New York Other 179574 LICENSE

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