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COMPREHENSIVE MEDICAL PC NPI 1073797981


NPI Information

NPI: 1073797981
Provider Name: COMPREHENSIVE MEDICAL PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1649 DEER PARK AVE
DEER PARK, NY
ZIP 11729
Phone: (631) 667-8178
Get Directions

COMPREHENSIVE MEDICAL PC is a cardiovascular disease internal medicine in Deer Park, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. COMPREHENSIVE MEDICAL PC NPI is 1073797981. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1649 DEER PARK AVE
DEER PARK, NY
ZIP 11729-202
Phone: (631) 667-8178
Fax: (631) 667-3859

The provider's authorized official is Kevin S Lee .
The authorized official title is M.d. and has the following contact phone number (631) 667-8178.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 5/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease186405NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W32871MEDICARE PINNEW YORK
2G00734MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.