Provider Demographics
NPI:1396281226
Name:INTEGRATIVE MEDICAL HEALTH CARE OF PLAINVIEW PC
Entity type:Organization
Organization Name:INTEGRATIVE MEDICAL HEALTH CARE OF PLAINVIEW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-243-8660
Mailing Address - Street 1:131 SUNNYSIDE BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1539
Mailing Address - Country:US
Mailing Address - Phone:516-243-8660
Mailing Address - Fax:516-342-6179
Practice Address - Street 1:131 SUNNYSIDE BLVD
Practice Address - Street 2:STE 100
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1539
Practice Address - Country:US
Practice Address - Phone:516-243-8660
Practice Address - Fax:516-342-6179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00949899Medicaid
NY00949899Medicaid