787 MEDICAL PC

NPI 1023801842 Active Integrative Medicine

Quick Facts

NPI Number

1023801842

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2025-05-24

Last Updated (NPPES)

2026-04-01

Primary Specialty / Taxonomy

Taxonomy	Integrative Medicine
Taxonomy Code	`202D00000X`

Other Taxonomies

Family Medicine, Addiction Medicine
Nurse Practitioner
Neurological Surgery
Internal Medicine
Registered Nurse, Pain Management
Phlebology
Physician Assistant
Pain Medicine, Interventional Pain Medicine
Physical Medicine & Rehabilitation, Pain Medicine
Family Medicine, Bariatric Medicine

Practice Address

235 FOREST AVE
GLEN COVE, NY 115422034

Phone: 718-285-7023

Fax: 516-671-6372

Mailing Address

217 OLD ITHACA RD
HORSEHEADS, NY 148451778

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.