# INTEGRATIVE OSTEOPATHIC MULTISPECIALTY MEDICAL ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IOMMA PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427232503
- **Authorized official:** DR. SONIA RIVERA-MARTINEZ D.O. (VICE PRESIDENT)
- **Authorized official phone:** (516) 741-1364

## Contact information

- **Practice address:** 471 N BROADWAY STE 351, JERICHO, NY 11753-2106
- **Practice address phone:** (516) 639-7774
- **Mailing address:** 471 N BROADWAY STE 351, JERICHO, NY 11753-2106
- **Mailing address phone:** (516) 639-7774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 229953 | NY | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 229958 | NY | — |
| 207Q00000X | Family Medicine Physician | 229958 | NY | Yes |
| 207RI0200X | Infectious Disease Physician | 229953 | NY | — |

## Other

- **Enumeration date:** 12/24/2007
- **Last updated:** 03/10/2008