| Comprehensive Diagnostics And Imaging Pc | |
|
200 East 36 Street, 11c New York NY 10016 | |
| (646) 429-8748 | |
| (877) 372-3266 |
| Full Name | Comprehensive Diagnostics And Imaging Pc |
|---|---|
| Speciality | Radiology |
| Location | 200 East 36 Street, 11c, New York, New York |
| Authorized Official Name and Position | Daniel Shifteh (OWNER/ DIRECTOR) |
| Authorized Official Contact | 8773723266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Diagnostics And Imaging Pc 200 East 36 Street, 11c New York NY 10016 Ph: (646) 429-8748 | Comprehensive Diagnostics And Imaging Pc 200 East 36 Street, 11c New York NY 10016 Ph: (646) 429-8748 |
| NPI Number | 1346661808 |
|---|---|
| Provider Enumeration Date | 12/30/2013 |
| Last Update Date | 12/30/2013 |
| Medicare PECOS PAC ID | 7810125580 |
|---|---|
| Medicare Enrollment ID | O20140103000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346661808 | NPI | - | NPPES |
| Provider Name | Omar Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831517002 PECOS PAC ID: 9436466471 Enrollment ID: I20150923001953 |
| Provider Name | David W Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518398361 PECOS PAC ID: 7517912017 Enrollment ID: I20151209001917 |
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