NPI 1295859056

Integrative Medical P.C.

Organisation Psychiatric Residential Treatment Facility New York, NY

Practice location

Address: 30 W 63rd St Suite 12 N, New York, NY 10023-7103
Phone: (212) 217-1516

Authorised official

Name: Tatiana Schneider
Title: Incorporator
Phone: (212) 217-1516

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 215559 (NY)

Other Psychiatric Residential Treatment Facility providers in New York →

Registry record

NPI: 1295859056
Entity type: Organization
NPI issued: 19 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.