OrganizationActive
Advanced Integrative Medical PC
NPI 1730457441 · Sports Medicine (Family Medicine) Physician · Thornwood, NY
Provider details
- NPI number
- 1730457441
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Michael Mckeown, Manager/Director
- License
- A259884-1 (NY)
Practice location
879 Commerce St
Thornwood, NY 10594-1415
Phone: (914) 747-9200
Fax: (914) 747-4406
Mailing address
879 Commerce St
Thornwood, NY 10594-1415
Registry dates
- Enumerated
- 2011-12-08
- Last updated
- 2012-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.