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Contact Information

UNITED COMPREHENSIVE CARE, LTD
170 OLD COUNTRY RD
RIVERHEAD, NY11901
 Phone: 631-208-4460
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for UNITED COMPREHENSIVE CARE, LTD

NPI Number 1942420989
LBN Legal business name UNITED COMPREHENSIVE CARE, LTD
Authorized official GUS MANTIA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/01/2007
Last updated 02/24/2010 - About 16 years ago
Identifiers
NY License # 005442
NY License # 124142
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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