Integrated Triborough Medical, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

179574 Issued in NY

Legal business name

INTEGRATED TRIBOROUGH MEDICAL, PLLC

Practice address

1000 Northern Blvd
Suite 175
Great Neck, NY 11021-5338

Phone

(631) 271-9151

Fax

(631) 271-9155

NPI assigned

Jun 6, 2013

Organization subpart

No

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

Authorized official

Name

Perry Stevens, M.D.

Title

Owner

Phone

(631) 271-9151

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1154769669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD",
            "address_2": "SUITE 175",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215338",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD",
            "address_2": "SUITE 175",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215338",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED TRIBOROUGH MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-271-9151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "179574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "179574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Ingber, PT
• Laura Elizabeth Ingenito, OTR
• Peter J Inguagiato, M.D.
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• Mia Rose Inserra, PSYD
• Yakov Iofel, MD
• Syed Hasan Iqbal, DO
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• Irina Belfer-Lehat Registered Dietitian, Nutrition Solutions PC
• Deborah Ishaal, PA

• Neurology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.