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Organization

INTEGRAL ASSIST MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL ACKERMAN MD (PRESIDENT)
(718) 531-4545
Entity
Organization

Contact information

Practice address
9941 64TH AVE, SUITE D16, REGO PARK, NY 11374-2653
(516) 883-7100
Mailing address
9941 64TH AVE, SUITE D16, REGO PARK, NY 11374-2653

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
03/04/2010
Last updated
03/04/2010
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