Organization Name: | COMPREHENSIVE MEDICAL ASSOCIATES LLC |
NPI Number: | 1518208792 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEIGH ANN HUTCHINSON (PRESIDENT) |
Mailing Address: | 515 Route 111 Fl 2 Hauppauge |
State: | NY US |
Postal Code: | 117884339 |
Phone Number: | 6312241819 |
Fax Number: | 6312241812 |
NPI Enumeration Date: | 03/13/2013 |
NPI Last Update Date: | 03/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |