| Comprehensive Ny Medical Pllc | |
|
72 W Main St Oyster Bay NY 11771-2211 | |
| (844) 776-6332 | |
| Not Available |
| Full Name | Comprehensive Ny Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 72 W Main St, Oyster Bay, New York |
| Authorized Official Name and Position | Lev Grinman (OWNER) |
| Authorized Official Contact | 8447766332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Ny Medical Pllc 4 Legends Cir Melville NY 11747-5302 Ph: () - | Comprehensive Ny Medical Pllc 72 W Main St Oyster Bay NY 11771-2211 Ph: (844) 776-6332 |
| NPI Number | 1699537472 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Medicare PECOS PAC ID | 1153760715 |
|---|---|
| Medicare Enrollment ID | O20240415003647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699537472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy Cullinan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679632343 PECOS PAC ID: 6608033972 Enrollment ID: I20120130000505 |
| Provider Name | Adam N Hopkins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720241524 PECOS PAC ID: 8527460369 Enrollment ID: I20210715002818 |
| Provider Name | Chelsea Rodriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639892730 PECOS PAC ID: 4082071014 Enrollment ID: I20230607001939 |
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