Provider Demographics
NPI:1265119176
Name:INTEGRATED RHEUMATOLOGY CARE PLLC
Entity type:Organization
Organization Name:INTEGRATED RHEUMATOLOGY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CABAS VARGAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:JENNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-344-9983
Mailing Address - Street 1:2002 ROUTE 17M STE 7
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-5236
Mailing Address - Country:US
Mailing Address - Phone:845-200-2995
Mailing Address - Fax:845-210-5787
Practice Address - Street 1:2002 ROUTE 17M STE 7
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-5236
Practice Address - Country:US
Practice Address - Phone:845-200-2995
Practice Address - Fax:845-210-5787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty