National Provider Identifier Database

NY COMPREHENSIVE MEDICAL PC
Electroneurodiagnostic


Contact Information

NY COMPREHENSIVE MEDICAL, PC
40-42 ELIZABETH STREET
SUITE 303
NEW YORK, NY10013
Phone: 212-219-8969
Fax: 212-219-1294
Website:
Specialty Taxonomy Code
* Electroneurodiagnostic 246ZE0600X
Acupuncturist 171100000X
EEG 246ZE0500X
Internal Medicine 207R00000X
Neurology 2084N0400X
Physical Medicine & Rehabilitation 208100000X
Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for NY COMPREHENSIVE MEDICAL, PC

NPI Number 1477600955
Legal business name
LBN
NY COMPREHENSIVE MEDICAL, PC
Authorized official RAQUEL KELLY - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/05/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 001367
  • NY License #: 022580
  • NY License #: 107344-1
  • NY License #: 130031
  • NY License #: 167790

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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