Organization
INTEGRA PARTNERS IPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC PANICCIA (CEO)
(646) 668-4081
Entity
Organization
Contact information
Practice address
100 WALL STREET, SUITE 203, NEW YORK, NY 10005-3701
(718) 369-0012
(718) 287-1229
Mailing address
INTEGRA PARTNERS PO BOX 81580, ROCHESTER, MI 48308
(718) 369-0012
(718) 287-1229
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NY
332BC3200X
Customized Equipment (DME)
—
NY
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NY
335E00000X
Prosthetic/Orthotic Supplier
—
NY
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/03/2008
Last updated
12/16/2022
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