Organization
INNOVATIVE HEALTH SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS FISHMAN PH.D. (DIRECTOR)
(914) 683-8050
Entity
Organization
Contact information
Practice address
7 HOLLAND AVE, SECOND FLOOR, WHITE PLAINS, NY 10603-3317
(914) 683-8050
(914) 683-8054
Mailing address
7 HOLLAND AVE, SECOND FLOOR, WHITE PLAINS, NY 10603-3317
(914) 683-8050
(914) 683-8054
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
060810830
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01037705
—
NY
05
—
1629197264
—
NY
Enumeration date
11/01/2006
Last updated
02/27/2009
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