Organization
INTEGRATED DIGESTIVE MEDICAL OF NEW YORK, P.C.
Active
Other names
SKB Medical, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER KAPI BERRY (CHIEF MEDICAL OFFICER)
(714) 904-5064
Entity
Organization
Contact information
Practice address
228 PARK AVE S STE 16389, NEW YORK, NY 10003-1502
(646) 876-8455
Mailing address
228 PARK AVE S STE 16389, NEW YORK, NY 10003-1502
(646) 876-8455
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/06/2022
Last updated
02/09/2026
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