OrganizationActive
Integrative Medical P.C.
NPI 1295859056 · Psychiatric Residential Treatment Facility · New York, NY
Provider details
- NPI number
- 1295859056
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tatiana Schneider, Incorporator(212) 217-1516
- License
- 215559 (NY)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
30 W 63rd St
Suite 12 N
New York, NY 10023-7103
Phone: (212) 217-1516
Approximate (ZIP-level) locationGet directions
Mailing address
30 W 63rd St
New York, NY 10023-7103
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.