Provider profile · NPI 1023801842

787 Medical Pc

Integrative Medicine · Glen Cove, NY · NPI 1023801842 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Integrative Medicine

Enumerated

May 24, 2025

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING217 OLD ITHACA RD Horseheads, NY 14845-1778607-731-4644
LOCATION235 FOREST AVE Glen Cove, NY 11542-2034718-285-7023

View on NPPES registry ↗

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