Organization Active NPI

Lifehealth Medical, P.C.

Doing business as Integrative Medicine Group

  • Health Service Clinic/Center
  • Tarrytown, NY
National Provider Identifier
1265683916
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
161056 Issued in NY
Legal business name
LIFEHEALTH MEDICAL, P.C.
Doing business as
Integrative Medicine Group
Practice address
167 Benedict Ave
Tarrytown, NY 10591-4201
Phone
(914) 524-0715
Fax
(914) 524-0713
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Irene H. Grant, M.D.
Title
President
Phone
(914) 524-0715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 161056 NY Primary

Addresses

Primary practice location

167 Benedict Ave
Tarrytown, NY 10591-4201

Mailing address

167 Benedict Ave
Tarrytown, NY 10591-4201
Phone (914) 524-0715

Other names 1

  • Integrative Medicine Group Doing business as

National Provider Directory

National Provider Directory

Locations

167 Benedict Ave
Tarrytown, NY 10591
Phone (914) 524-0715

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1265683916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 BENEDICT AVE",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914201",
            "telephone_number": "914-524-0715",
            "fax_number": "914-524-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 BENEDICT AVE",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914201",
            "telephone_number": "914-524-0715",
            "fax_number": "914-524-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEHEALTH MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-524-0715",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "161056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Medicine Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.