INTEGRATED MEDICAL HEALTH CARE PC NPI 1750430609

NPI Information

NPI: 1750430609
Provider Name: INTEGRATED MEDICAL HEALTH CARE PC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
624 TOWNLINE RD
HAUPPAUGE, NY
ZIP 11788
Phone: (631) 366-3334
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INTEGRATED MEDICAL HEALTH CARE PC is a health service clinic center in Hauppauge, NY. INTEGRATED MEDICAL HEALTH CARE PC NPI is 1750430609. The provider is registered as an organization entity type.

The provider's business location address is:

624 TOWNLINE RD
HAUPPAUGE, NY
ZIP 11788-821
Phone: (631) 366-3334
Fax: (631) 366-3233

The provider's authorized official is Harvey Wieder .
The authorized official title is President and has the following contact phone number (631) 366-3334.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	206669	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SF-0002620	OTHER	NEW YORK	SELECT PRO
2	AA70462	OTHER	NEW YORK	MDNY
3	6138162-007	OTHER	NEW YORK	CIGNA HEALTHCARE
4	01797382	MEDICAID	NEW YORK
5	2007635	OTHER	NEW YORK	UNITED HEALTHCARE
6	P2370468	OTHER	NEW YORK	OXFORD
7	477164	OTHER	NEW YORK	PHCS
8	5904677	OTHER	NEW YORK	GHI - GROUP HEALTH INC
9	OD2081	OTHER	NEW YORK	EMPIRE BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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