Organization
INTEGRATIVE MEDICINE OF NEW YORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREL MUCKEY (ADMINISTRATOR)
(516) 759-4200
Entity
Organization
Contact information
Practice address
520 FRANKLIN AVE STE 230, GARDEN CITY, NY 11530-5878
(516) 759-4200
(516) 759-7600
Mailing address
520 FRANKLIN AVE STE 230, GARDEN CITY, NY 11530-5878
(516) 759-4200
(516) 759-7600
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477637312
NYSED
NY
Enumeration date
06/18/2020
Last updated
06/18/2020
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