| Comprehensive Medical Office, Pc | |
|
18901 Northern Blvd # 3f Flushing NY 11358-2824 | |
| (718) 746-0900 | |
| (718) 746-2390 |
| Full Name | Comprehensive Medical Office, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 18901 Northern Blvd # 3f, Flushing, New York |
| Authorized Official Name and Position | Jungman Michael Suh (OWNER) |
| Authorized Official Contact | 7187460900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Medical Office, Pc 18901 Northern Blvd # 3f Flushing NY 11358-2824 Ph: (718) 746-0900 | Comprehensive Medical Office, Pc 18901 Northern Blvd # 3f Flushing NY 11358-2824 Ph: (718) 746-0900 |
| NPI Number | 1881928497 |
|---|---|
| Provider Enumeration Date | 09/29/2009 |
| Last Update Date | 12/06/2021 |
| Certification Date | 12/06/2021 |
| Medicare PECOS PAC ID | 9133265333 |
|---|---|
| Medicare Enrollment ID | O20091001000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881928497 | NPI | - | NPPES |
| 03030839 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
| Provider Name | Jungman M Suh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003076886 PECOS PAC ID: 5294801833 Enrollment ID: I20080905000489 |
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