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Organization
ADVANCED INTEGRATIVE MEDICAL PC
Active
Organization
ADVANCED INTEGRATIVE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A MCKEOWN DC (MANAGER/DIRECTOR)
(914) 747-9200
Entity
Organization
Contact information
Practice address
879 COMMERCE ST, THORNWOOD, NY 10594-1415
(914) 747-9200
(914) 747-4406
Mailing address
879 COMMERCE ST, THORNWOOD, NY 10594-1415
(914) 747-9200
(914) 747-4406
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
A259884-1
NY
207Q00000X
Family Medicine Physician
A259884-1
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
259884
NY
Other
Enumeration date
12/08/2011
Last updated
06/20/2012
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