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Contact Information

NY COMPREHENSIVE MEDICAL WELLNESS P.C.
329 E 149TH ST
BRONX, NY10451-5625
 Phone: 718-585-5500
 Fax: 718-585-5502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for NY COMPREHENSIVE MEDICAL WELLNESS P.C.

NPI Number 1912419698
LBN Legal business name NY COMPREHENSIVE MEDICAL WELLNESS P.C.
Authorized official MICHAEL SORACE - (MANAGING EMPLOYEE)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2017
Last updated 11/02/2017 - About 9 years ago
Identifiers
NY License # 288165
NY Other 115644 NYSED ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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