| Integrated Medical Health Wellness P C | |
|
125 E Central Ave Pearl River NY 10965-2543 | |
| (914) 269-8777 | |
| Not Available |
| Full Name | Integrated Medical Health Wellness P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 125 E Central Ave, Pearl River, New York |
| Authorized Official Name and Position | Shawn K Samuel (PRESIDENT) |
| Authorized Official Contact | 9142698777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medical Health Wellness P C 2005 Palmer Ave # 1050 Larchmont NY 10538-2437 Ph: (914) 269-8777 | Integrated Medical Health Wellness P C 125 E Central Ave Pearl River NY 10965-2543 Ph: (914) 269-8777 |
| NPI Number | 1467216366 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/10/2024 |
| Medicare PECOS PAC ID | 3577091594 |
|---|---|
| Medicare Enrollment ID | O20250103002304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467216366 | NPI | - | NPPES |
| Provider Name | Shawn K Samuel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649366204 PECOS PAC ID: 1456358027 Enrollment ID: I20061025000348 |
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