Ivy Medicine, PC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1932328168

Ivy Medicine, PC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Hauppauge, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in: NY
In the registry since: 2007

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

740 Veterans Hwy Ste 203
Hauppauge, NY 11788-2329
Phone: (631) 673-1177
Fax: (631) 489-7035

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Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary)	Taxonomy 2081P2900X · Licence 208578 (NY)

Record details

NPI number	1932328168
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Sanghun Song — President · (631) 673-1177
NPI enumerated	April 25, 2007
Last updated in NPPES	November 16, 2007
Mailing address	Po Box 2711, Huntington Station, NY 11746-0559