HomeNPI Verification

NPI Verification

National Provider Identifier: 1023801842

787 Medical PC

Organization

Primary Specialty

Integrative Medicine

Code: 202D00000X

All Specialties (12)

Family Medicine, Addiction Medicine

Code: 207QA0401X

Nurse Practitioner

Code: 363L00000X

Neurological Surgery

Code: 207T00000X

Code: 208VP0000X

Internal Medicine

Code: 207R00000X

Registered Nurse, Pain Management

Code: 163WP0000X

Phlebology

Code: 202K00000X

Physician Assistant

Code: 363A00000X

Pain Medicine, Interventional Pain Medicine

Code: 208VP0014X

Physical Medicine & Rehabilitation, Pain Medicine

Code: 2081P2900X

Family Medicine, Bariatric Medicine

Code: 207QB0002X

Integrative Medicine

Code: 202D00000X

Primary

Practice Address

217 OLD ITHACA RD

HORSEHEADS, NY 148451778

Phone: 607-731-4644

NPI Enumeration Date

May 24, 2025

NPI Number

1023801842

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry