| NPI | 1962502229 |
|---|---|
| Other Name | INTEGRA PARTNERS IPA LLC |
| Entity Type | Organization |
| Authorized Contact | DOMINIC PANICCIA CEO 646-668-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224P00000X Prosthetist | |
| 225000000X Orthotic Fitter | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-12-16 |