Integrated Triborough Medical, Pllc
NPI #1154769669 in Great Neck, New York
Provider Information
- NPI Number
- 1154769669
- Entity Type
- Organization
- Organization Name
- Integrated Triborough Medical, Pllc
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Jun 6, 2013
- Last Updated
- Jun 6, 2013
Practice Location
- Address
- 1000 NORTHERN BLVD
- Address 2
- SUITE 175
- City
- Great Neck
- State
- New York
- ZIP Code
- 11021-5338
- Phone
- (631) 271-9151
Authorized Official
- Name
- PERRY STEVENS, M.D.
- Title
- OWNER
- Phone
- (631) 271-9151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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