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Organization

INTEGRATIVE OSTEOPATHIC MULTISPECIALTY MEDICAL ASSOCIATES, PLLC

Active
Other names
IOMMA PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SONIA RIVERA-MARTINEZ D.O. (VICE PRESIDENT)
(516) 741-1364
Entity
Organization

Contact information

Practice address
471 N BROADWAY STE 351, JERICHO, NY 11753-2106
(516) 639-7774
Mailing address
471 N BROADWAY STE 351, JERICHO, NY 11753-2106
(516) 639-7774

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
229953
NY
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
229958
NY
207Q00000X
Family Medicine Physician
Primary
229958
NY
207RI0200X
Infectious Disease Physician
229953
NY

Other

Enumeration date
12/24/2007
Last updated
03/10/2008
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