# ROCKLAND INTEGRATIVE MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124264999
- **Authorized official:** JILL FETELL MD (OWNER)
- **Authorized official phone:** (845) 362-8400

## Contact information

- **Practice address:** 2 MEDICAL PARK DR, WEST NYACK, NY 10994-1965
- **Practice address phone:** (845) 358-4000
- **Mailing address:** 26 FIREMANS MEMORIAL DR, SUITE 115, POMONA, NY 10970-3553
- **Mailing address phone:** (845) 362-8400
- **Mailing address fax:** (845) 362-8474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2008
- **Last updated:** 02/06/2009