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Organization
INTEGRATED MEDICAL HEALTH WELLNESS P C
Active
Organization
INTEGRATED MEDICAL HEALTH WELLNESS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN K SAMUEL D.O. (PRESIDENT)
(914) 269-8777
Entity
Organization
Contact information
Practice address
125 E CENTRAL AVE, PEARL RIVER, NY 10965-2543
(914) 269-8777
Mailing address
2005 PALMER AVE # 1050, LARCHMONT, NY 10538-2437
(914) 269-8777
(888) 300-0458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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