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

Integrated Triborough Medical, PLLC

Organization Neurology Physician · NPI 1154769669

Integrated Triborough Medical, PLLC is a Neurology Physician in Great Neck, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Northern Blvd Ste 175
Great Neck, NY 11021-5338
Phone: (631) 271-9151
Fax: (631) 271-9155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 179574 (NY)

Record details

NPI number1154769669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Perry Stevens — Owner · (631) 271-9151
NPI enumeratedJune 6, 2013
Last updated in NPPESJune 6, 2013
Mailing address1000 Northern Blvd, Suite 175, Great Neck, NY 11021-5338

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