Organization Active NPI

Finger Lakes Physiatry and Integrative Health Care, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Geneva, NY
National Provider Identifier
1003262148
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
253084 Issued in NY
Legal business name
FINGER LAKES PHYSIATRY AND INTEGRATIVE HEALTH CARE, PLLC
Practice address
821 Pre Emption Rd Ste 200
Geneva, NY 14456-2061
Phone
(631) 766-0811
NPI assigned
May 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Michael Inzerillo, MD, DC
Title
Medical Director
Phone
(631) 766-0811

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7420 NY
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 253084 NY Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 334820 NY

Addresses

Primary practice location

821 Pre Emption Rd Ste 200
Geneva, NY 14456-2061

Mailing address

821 Pre Emption Rd Ste 200
Geneva, NY 14456-2061
Phone (631) 766-0811

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1003262148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 PRE EMPTION RD STE 200",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562061",
            "telephone_number": "631-766-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 PRE EMPTION RD STE 200",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562061",
            "telephone_number": "631-766-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINGER LAKES PHYSIATRY AND INTEGRATIVE HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-08",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "INZERILLO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "631-766-0811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "7420",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "253084",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.