# INTEGRATIVE MEDICAL P.C.

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

## Provider details

- **NPI number:** 1295859056
- **Authorized official:** TATIANA SCHNEIDER M.D. (INCORPORATOR)
- **Authorized official phone:** (212) 217-1516

## Contact information

- **Practice address:** 30 W 63RD ST, SUITE 12 N, NEW YORK, NY 10023-7103
- **Practice address phone:** (212) 217-1516
- **Mailing address:** 30 W 63RD ST, SUITE 12 N, NEW YORK, NY 10023-7103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 215559 | NY | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020