Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Side Integrative Medicine PC

Organization Adult Mental Health Clinic/Center · NPI 1659081461

East Side Integrative Medicine PC is an Adult Mental Health Clinic/Center in White Plains, New York. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Barker Ave Ste 200
White Plains, NY 10601-1523
Phone: (845) 422-6504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Executive Blvd Ste 104, Montebello, NY 10901-4170 — (914) 222-0101

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1659081461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Medrano — Director · (720) 251-9215
NPI enumeratedDecember 2, 2022
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address1 Barker Ave Ste 200, White Plains, NY 10601-1523

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