# LONG ISLAND INTEGRATIVE MEDICAL WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Long Island Integrative Health PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962040618
- **Authorized official:** SEAN RAMSAMMY (ADMINISTRATIVE MANAGER)
- **Authorized official phone:** (516) 548-7061

## Contact information

- **Practice address:** 1611 MERRICK RD, MERRICK, NY 11566-4540
- **Practice address phone:** (516) 548-7061
- **Practice address fax:** (516) 548-7445
- **Mailing address:** 1611 MERRICK RD, MERRICK, NY 11566-4540
- **Mailing address phone:** (516) 548-7061
- **Mailing address fax:** (516) 548-7445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2019
- **Last updated:** 02/07/2023