Organization
INTEGRA PARTNERS IPA, LLC
Active
Organization
INTEGRA PARTNERS IPA, LLC
Active
Other names
Integra Partners IPA LLC (NJ)
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN RUSSO (GENERAL COUNSEL)
(718) 819-3920
Entity
Organization
Contact information
Practice address
3221 W. BIG BEAVER RD., STE. 211, TROY, MI 48084-2811
(718) 369-0012
(718) 287-1229
Mailing address
P.O. BOX 81580, ROCHESTER, MI 48308
(718) 369-0012
(718) 287-1229
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/06/2013
Last updated
11/17/2025
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