Organization
INTEGRATED MEDICAL PROFESSIONALS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J WEBER (OWNER)
(214) 424-2213
Entity
Organization
Contact information
Practice address
1 HOLLOW LANE, SUITE 206, LAKE SUCCESS, NY 11042
(516) 931-0041
(516) 822-1686
Mailing address
1 HOLLOW LN STE 206, NEW HYDE PARK, NY 11042-1215
(516) 931-0041
(516) 822-1686
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02823018
—
NY
Enumeration date
04/10/2006
Last updated
06/21/2026
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