| Organization Name: | INTREGRATED MEDICAL SERVICES OF LONG ISLAND ,PC |
| NPI Number: | 1023364353 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETH MARIE MASSEY (OWNER) |
| Mailing Address: | 2900 Hempstead Tpke #203 Levittown |
| State: | NY US |
| Postal Code: | 117561404 |
| Phone Number: | 5167310303 |
| Fax Number: | 5167316302 |
| NPI Enumeration Date: | 07/24/2012 |
| NPI Last Update Date: | 07/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 194295 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |