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Organization

INTEGRATIVE MEDICINE OF NEW YORK, PLLC

Active
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Organization

INTEGRATIVE MEDICINE OF NEW YORK, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAUREL MUCKEY (ADMINISTRATOR)
(516) 759-4200
Entity
Organization

Contact information

Practice address
520 FRANKLIN AVE STE 230, GARDEN CITY, NY 11530-5878
(516) 759-4200
(516) 759-7600
Mailing address
520 FRANKLIN AVE STE 230, GARDEN CITY, NY 11530-5878
(516) 759-4200
(516) 759-7600

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—

Other

Enumeration date
06/18/2020
Last updated
06/18/2020
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