Healthcare Provider Details

I. General information

NPI: 1669397451
Provider Name (Legal Business Name): INTEGRITY CASE MANAGEMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 CHESTNUT ST
WATERVLIET NY
12189-3117
US

IV. Provider business mailing address

1214 CHESTNUT ST
WATERVLIET NY
12189-3117
US

V. Phone/Fax

Practice location:
  • Phone: 518-244-0424
  • Fax: 518-535-5551
Mailing address:
  • Phone: 518-244-0424
  • Fax: 518-535-5551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ANTHONY MANN SR.
Title or Position: OWNER
Credential:
Phone: 518-244-0424