Organization
INTEGRATED HEALTH ADMINISTRATIVE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD J TANZER (CHAIRMAN)
(914) 777-8300
Entity
Organization
Contact information
Practice address
141 HALSTEAD AVE, SUITE 304, MAMARONECK, NY 10543-2607
(914) 777-8300
(914) 777-8304
Mailing address
141 HALSTEAD AVE, SUITE 304, MAMARONECK, NY 10543-2607
(914) 777-8300
(914) 777-8304
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060372
—
NJ
05
—
01878633
—
NY
05
—
01879836
—
NY
01
—
630001541
RAILROAD MEDICARE
NJ
01
—
630001618
RAILROAD MEDICARE
NY
Enumeration date
07/13/2006
Last updated
10/21/2020
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