# INTEGRATIVE MEDICAL WELLNESS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1174800478
- **Authorized official:** DR. RICHARD CARL KOFFLER M.D. (PRINCIPAL)
- **Authorized official phone:** (917) 903-4531

## Contact information

- **Practice address:** 99 BUSINESS PARK DR, ARMONK, NY 10504-1720
- **Practice address phone:** (917) 903-4531
- **Mailing address:** 31 WOODMILL RD, CHAPPAQUA, NY 10514-1128
- **Mailing address phone:** (917) 903-4531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 203547 | NY | Yes |

## Other

- **Enumeration date:** 11/15/2011
- **Last updated:** 11/15/2011