Organization
INTEGRATIVE INTERVENTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE KALOGIANNIS PHD (MANAGER)
(917) 656-4696
Entity
Organization
Contact information
Practice address
154 TRENTON AVE, WHITE PLAINS, NY 10606-2014
(917) 656-4696
Mailing address
154 TRENTON AVE, WHITE PLAINS, NY 10606-2014
(917) 656-4696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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