COMPREHENSIVE MEDICAL ASSIST P.C. NPI 1194172890

NPI Information

NPI: 1194172890
Provider Name: COMPREHENSIVE MEDICAL ASSIST P.C.
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
11 GRACE AVE
SUITE 204
GREAT NECK, NY
ZIP 11021
Phone: (516) 654-5551
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COMPREHENSIVE MEDICAL ASSIST P.C. is a surgical physician assistant in Great Neck, NY. COMPREHENSIVE MEDICAL ASSIST P.C. NPI is 1194172890. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11 GRACE AVE
SUITE 204
GREAT NECK, NY
ZIP 11021-446
Phone: (516) 654-5551
Fax: (516) 441-7625

The provider's authorized official is Boris A Khaimov .
The authorized official title is Physician and has the following contact phone number (516) 654-5551.

The enumeration date for this NPI number is 5/23/2016 and was last updated on 9/12/2016.

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
1	363AS0400X	Physician Assistant	Surgical	249224	NEW YORK	Yes

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

NPI Synchronization or Removal

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