Organization
INTEGRATIVE 1 MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HESKELL KHOZOURI-ZADEH DC (MANAGER)
(516) 755-5855
Entity
Organization
Contact information
Practice address
2060 BELLMORE AVE, BELLMORE, NY 11710-5604
(516) 755-5855
(516) 755-0330
Mailing address
2060 BELLMORE AVE, BELLMORE, NY 11710-5604
(516) 755-5855
(516) 755-0330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
010621
NY
208D00000X
General Practice Physician
244460
NY
208D00000X
General Practice Physician
Primary
259884
NY
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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