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COMPREHENSIVE OB/GYN CARE PC NPI 1609287812


NPI Information

NPI: 1609287812
Provider Name: COMPREHENSIVE OB/GYN CARE, PC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
252 BEACH 14TH ST
SUITE C1
FAR ROCKAWAY, NY
ZIP 11691
Phone: (347) 926-4101
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COMPREHENSIVE OB/GYN CARE, PC is a gynecology obstetrics gynecology in Far Rockaway, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee COMPREHENSIVE OB/GYN CARE, PC NPI is 1609287812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

252 BEACH 14TH ST
SUITE C1
FAR ROCKAWAY, NY
ZIP 11691-555
Phone: (347) 926-4101
Fax: (347) 619-9031

The provider's authorized official is Robert Blake .
The authorized official title is Owner/operator and has the following contact phone number (347) 926-4101.

The enumeration date for this NPI number is 5/12/2014 and was last updated on 5/12/2014.


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
1207VG0400XObstetrics & GynecologyGynecology213092NEW 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
16514UJMEDICARE PINNEW 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

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