| Comprehensive Medical & Diagnostic Care Pc | |
| 
					1723 E 12th St Suite 202 Brooklyn NY 11229-1069  | |
| (718) 615-7450 | |
| (718) 615-7452 | 
| Full Name | Comprehensive Medical & Diagnostic Care Pc | 
|---|---|
| Speciality | Psychiatry & Neurology | 
| Location | 1723 E 12th St, Brooklyn, New York | 
| Authorized Official Name and Position | Vilor Shpitalnik (DIRECTOR) | 
| Authorized Official Contact | 7186157450 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Comprehensive Medical & Diagnostic Care Pc 1723 E 12th St Suite 202 Brooklyn NY 11229-1069 Ph: (718) 615-7450  | Comprehensive Medical & Diagnostic Care Pc 1723 E 12th St Suite 202 Brooklyn NY 11229-1069 Ph: (718) 615-7450  | 
| NPI Number | 1033250246 | 
|---|---|
| Provider Enumeration Date | 02/09/2007 | 
| Last Update Date | 04/05/2013 | 
| Medicare PECOS PAC ID | 6305083841 | 
|---|---|
| Medicare Enrollment ID | O20130501000006 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033250246 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary | 
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary | 
| Provider Name | Vilor Shpitalnik | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1629094495 PECOS PAC ID: 7719919075 Enrollment ID: I20050907000899  | 
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