Organization
INTEGRATED TRIBOROUGH MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY STEVENS M.D. (OWNER)
(631) 271-9151
Entity
Organization
Contact information
Practice address
1000 NORTHERN BLVD, SUITE 175, GREAT NECK, NY 11021-5338
(631) 271-9151
(631) 271-9155
Mailing address
1000 NORTHERN BLVD, SUITE 175, GREAT NECK, NY 11021-5338
(631) 271-9151
(631) 271-9155
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
179574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179574
LICENSE
NY
Enumeration date
06/06/2013
Last updated
06/06/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us