Organization
INNOVATIVE MEDICAL THERAPIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CLINTON (PRESIDENT)
(860) 633-5263
Entity
Organization
Contact information
Practice address
600 HICKSVILLE RD, BETHPAGE, NY 11714-3453
(516) 931-6300
(516) 931-6348
Mailing address
212 NEW LONDON TPKE, SUITE A, GLASTONBURY, CT 06033-4202
(860) 633-5263
(516) 931-6348
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/13/2009
Last updated
08/28/2009
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