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Organization
INTEGRATIVE OSTEOPATHIC MULTISPECIALTY MEDICAL ASSOCIATES, PLLC
Active
Organization
INTEGRATIVE OSTEOPATHIC MULTISPECIALTY MEDICAL ASSOCIATES, PLLC
Active
Other names
IOMMA PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA RIVERA-MARTINEZ D.O. (VICE PRESIDENT)
(516) 741-1364
Entity
Organization
Contact information
Practice address
471 N BROADWAY STE 351, JERICHO, NY 11753-2106
(516) 639-7774
Mailing address
471 N BROADWAY STE 351, JERICHO, NY 11753-2106
(516) 639-7774
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
229953
NY
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
229958
NY
207Q00000X
Family Medicine Physician
Primary
229958
NY
207RI0200X
Infectious Disease Physician
229953
NY
Other
Enumeration date
12/24/2007
Last updated
03/10/2008
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