Organization
INTEGRAL HEALTH MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH A LOUIS (PRESIDENT)
(718) 676-1412
Entity
Organization
Contact information
Practice address
647 BRYANT AVE, BRONX, NY 10474-6500
(718) 676-1412
Mailing address
8843 76TH AVE, GLENDALE, NY 11385-7942
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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