Organization
INTEGRATIVE MEDICAL WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CARL KOFFLER M.D. (PRINCIPAL)
(917) 903-4531
Entity
Organization
Contact information
Practice address
99 BUSINESS PARK DR, ARMONK, NY 10504-1720
(917) 903-4531
Mailing address
31 WOODMILL RD, CHAPPAQUA, NY 10514-1128
(917) 903-4531
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
203547
NY
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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