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COMPREHENSIVE COMMUITY DEVELOPMENT CORPORATION NPI 1578564001


NPI Information

NPI: 1578564001
Provider Name: COMPREHENSIVE COMMUITY DEVELOPMENT CORPORATION

Doing Business As: SOUNDVIEW HEALTHCARE NETWORK

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
731 WHITE PLAINS RD
BRONX, NY
ZIP 10473
Phone: (718) 589-8324
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COMPREHENSIVE COMMUITY DEVELOPMENT CORPORATION is a community health clinic center in Bronx, NY. COMPREHENSIVE COMMUITY DEVELOPMENT CORPORATION NPI is 1578564001. The provider is registered as an organization entity type.
The provider Is Doing Business As Soundview Healthcare Network.

The provider's business location address is:

731 WHITE PLAINS RD
BRONX, NY
ZIP 10473-631
Phone: (718) 589-8324
Fax: (718) 860-1838

The provider's authorized official is Pedro Espada .
The authorized official title is President & Ceo and has the following contact phone number (718) 589-2232.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 2/28/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)7000239RNEW YORKNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3261QC1500XClinic/CenterCommunity HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17000239ROTHERNEW YORKOPERATING CERTIFICATE
2W92171MEDICARE PINNEW YORK
3331825K00AMEDICARE UPINNEW YORK
400665274MEDICAIDNEW YORK
5331825MEDICARE OSCAR/CERTIFICATIONNEW 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: 11/14/2023

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