INTEGRATED MEDICAL INTERVENTIONAL DIAGNOSTICS PC (NPI# 1962856450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962856450 |
| Entity Type | Organization |
| Organization Name | INTEGRATED MEDICAL INTERVENTIONAL DIAGNOSTICS PC |
| Practice Address |
1111 Broad Hollow Rd 110 Suite 114 Farmingdale NY 11735 |
| Practice Telephone | 5163368659 |
| Mailing Telephone | 5163368659 |
| Mailing Fax Number | 5162532141 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | MR. HASIB MIKAEL SARIJ (OWNER) |
| Authorized Official Telephone | 5163368659 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0000X |
Registered Nurse Specialization: Pain Management |
229328 | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02549791 | 05 |
| Street Address |
1111 BROAD HOLLOW RD 110 SUITE 114 |
| City | FARMINGDALE |
| State | NY |
| Zip Code | 11735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
| 1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
| 1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
| 1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
| 1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
| 1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
| 1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
| 1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| 1871908749 | Pamela Scutellaro | Nurse Practitioner | 9 Elsie Lane, Farmingdale, NY 11735 | 2014-06-30 |
| Find all providers in zip 11735 | ||||
| Taxonomy Code | 163WP0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pain Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639681182 | Buffalo Np In Adult Health Services Pllc | Registered Nurse | 3045 Southwestern Blvd Ste 100, Orchard Park, NY 14127-1209 | 2017-10-24 |
| 1730229527 | Elaine Mary Lennox | Registered Nurse | 80 Locust Hill Dr, Rochester, NY 14618-5415 | 2007-02-08 |
| 1023039211 | Paul F Habek | Registered Nurse | 333 Route 25a Ste 225, Rocky Point, NY 11778-8802 | 2006-07-22 |
| 1033162888 | Debra Jane Dermady-ray | Registered Nurse | 6 Business Park Ct, Utica, NY 13502-6309 | 2006-05-19 |
| 1255325825 | Pamela J Madej | Registered Nurse | 116 Everett Rd, Albany, NY 12205-1427 | 2005-09-09 |
| 1912358623 | Theresa Mitchel | Registered Nurse | 191-32 Northern Blvd, Flushing, NY 11358-2829 | 2016-06-23 |
| 1093154114 | Mikhail Fiksman | Registered Nurse | 2076 E 13th St, Brooklyn, NY 11229-3304 | 2013-06-21 |
| 1356669436 | Jennice L Riley | Registered Nurse | 374 Stockholm St, C/o Faculty Practice Management- Suite 1-37n, Brooklyn, NY 11237-4006 | 2010-05-13 |
| 1386856466 | Leslie Kao | Registered Nurse | 2510 30th Ave, Long Island City, NY 11102-2448 | 2007-05-03 |
| 1689688822 | Pamela J Peterson | Registered Nurse | 333 Route 25a Ste 225, Rocky Point, NY 11778-8802 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGDALE |
| Zip Code | 11735 |
Please comment or provide details below to improve the information on INTEGRATED MEDICAL INTERVENTIONAL DIAGNOSTICS PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.