# INTEGRATIVE FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811128564
- **Authorized official:** DR. ARAN DEGENHARDT MD, MPH&TM (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 366-5100

## Contact information

- **Practice address:** 22 W 21ST ST, SUITE 400, NEW YORK, NY 10010-6904
- **Practice address phone:** (212) 366-5100
- **Practice address fax:** (212) 366-6275
- **Mailing address:** 22 W 21ST ST, SUITE 400, NEW YORK, NY 10010-6904
- **Mailing address phone:** (212) 366-5100
- **Mailing address fax:** (212) 366-6275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 234008 | NY | Yes |

## Other

- **Enumeration date:** 07/29/2009
- **Last updated:** 07/29/2009
