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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