# INTEGRAL ASSIST MEDICAL PC

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

## Provider details

- **NPI number:** 1811210826
- **Authorized official:** PAUL ACKERMAN MD (PRESIDENT)
- **Authorized official phone:** (718) 531-4545

## Contact information

- **Practice address:** 9941 64TH AVE, SUITE D16, REGO PARK, NY 11374-2653
- **Practice address phone:** (516) 883-7100
- **Mailing address:** 9941 64TH AVE, SUITE D16, REGO PARK, NY 11374-2653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2010
- **Last updated:** 03/04/2010