Provider Demographics
NPI:1104093087
Name:INTEGRATED HEALTH SOLUTIONS, INC.
Entity type:Organization
Organization Name:INTEGRATED HEALTH SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN AKEN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:845-896-2238
Mailing Address - Street 1:1073 MAIN ST
Mailing Address - Street 2:SUITE 202A
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-3513
Mailing Address - Country:US
Mailing Address - Phone:845-896-2238
Mailing Address - Fax:845-896-4419
Practice Address - Street 1:1073 MAIN ST
Practice Address - Street 2:SUITE 202A
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-3513
Practice Address - Country:US
Practice Address - Phone:845-896-2238
Practice Address - Fax:845-896-4419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-10
Last Update Date:2008-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002731133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty