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Organization

INTEGRATED DIGESTIVE MEDICAL OF NEW YORK, P.C.

Active
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Organization

INTEGRATED DIGESTIVE MEDICAL OF NEW YORK, P.C.

Active
Other names
SKB Medical, P.C.
Organization subpart
No

Provider details

NPI number
Authorized official
SAMEER KAPI BERRY (CHIEF MEDICAL OFFICER)
(714) 904-5064
Entity
Organization

Contact information

Practice address
228 PARK AVE S STE 16389, NEW YORK, NY 10003-1502
(646) 876-8455
Mailing address
228 PARK AVE S STE 16389, NEW YORK, NY 10003-1502
(646) 876-8455

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—

Other

Enumeration date
12/06/2022
Last updated
02/09/2026
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