| Organization Name: | COMPREHENSIVE BEHAVIORAL MEDICAL CARE PC |
| NPI Number: | 1972671592 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTIN A CHRISPHONTE (SECRETARY CBMS) |
| Mailing Address: | 750 Fulton Street Farmingdale |
| State: | NY US |
| Postal Code: | 11735 |
| Phone Number: | 6312492765 |
| Fax Number: | 6312493617 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 06/14/2008 |
| 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: | |