Healthcare Provider Details

I. General information

NPI: 1477458412
Provider Name (Legal Business Name): INTEGRATED RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 FLORENCE AVE
HEMPSTEAD NY
11550-6535
US

IV. Provider business mailing address

128 FLORENCE AVE
HEMPSTEAD NY
11550-6535
US

V. Phone/Fax

Practice location:
  • Phone: 516-244-6431
  • Fax:
Mailing address:
  • Phone: 516-244-6431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. OLUSOLA O KARIMU
Title or Position: MD
Credential: PHD
Phone: 516-244-6431