Integrated Medical Health Wellness P C

Internal Medicine in Pearl River, NY. Organization (NPI-2).

NPI number1467216366

StatusActive

Last updated in NPPESFeb 12, 2024

Details

NPI: 1467216366
Entity type: Organization (NPI-2)
Legal business name: Integrated Medical Health Wellness P C
Organization subpart: No
Enumeration date: Feb 12, 2024
Certification date: Feb 10, 2024
Last updated: Feb 12, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
2084N0400X	Psychiatry & Neurology, Neurology	–	–
208VP0000X		–	–

Practice location

125 E Central Ave
Pearl River, NY 10965-2543

Phone 914-269-8777

Mailing address

2005 Palmer Ave # 1050
Larchmont, NY 10538-2437

Phone 914-269-8777 · Fax 888-300-0458

Authorized official

Shawn K Samuel
President
9142698777

Is something wrong?

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Other Internal Medicine Physician providers in Pearl River, NY

All 8 Internal Medicine Physician providers in Pearl River · All 458 providers in Pearl River

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