Provider Demographics
NPI:1740740265
Name:INTEGRATIVE SOLUTIONS INC.
Entity Type:Organization
Organization Name:INTEGRATIVE SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MACDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:DAC
Authorized Official - Phone:917-915-6481
Mailing Address - Street 1:602 LARSON DR
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7380
Mailing Address - Country:US
Mailing Address - Phone:917-915-6481
Mailing Address - Fax:
Practice Address - Street 1:500 SUMMIT LAKE DR STE 100
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-2325
Practice Address - Country:US
Practice Address - Phone:917-915-6481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty