Organization
AIM INTEGRATED MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ELICE MD (MEDICAL DIRECTOR)
(516) 802-5028
Entity
Organization
Contact information
Practice address
80 CROSSWAYS PARK DRIVE, SUITE 200, WOODBURY, NY 11797
(516) 802-5028
Mailing address
80 CROSSWAYS PARK DRIVE, SUITE 200, WOODBURY, NY 11797
(516) 802-5028
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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