| Comprehensive Medical Associates Pllc | |
|
515 Route 111 Fl 2 Hauppauge NY 11788-4339 | |
| (631) 224-1819 | |
| (631) 224-1812 |
| Full Name | Comprehensive Medical Associates Pllc |
|---|---|
| Speciality | General Practice |
| Location | 515 Route 111 Fl 2, Hauppauge, New York |
| Authorized Official Name and Position | Leigh Ann Hutchinson (PRESIDENT) |
| Authorized Official Contact | 6312241819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Medical Associates Pllc 515 Route 111 Fl 2 Hauppauge NY 11788-4339 Ph: (631) 224-1819 | Comprehensive Medical Associates Pllc 515 Route 111 Fl 2 Hauppauge NY 11788-4339 Ph: (631) 224-1819 |
| NPI Number | 1518208792 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 06/18/2021 |
| Medicare PECOS PAC ID | 7911136809 |
|---|---|
| Medicare Enrollment ID | O20140219001467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518208792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Orlando Vic Bautista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386695492 PECOS PAC ID: 5294631644 Enrollment ID: I20031208001006 |
| Provider Name | Leigh A Hutchinson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568497204 PECOS PAC ID: 7012808983 Enrollment ID: I20040322000543 |
| Provider Name | Jonathan Lown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265538458 PECOS PAC ID: 2567449887 Enrollment ID: I20040706000467 |
| Provider Name | Dinesh Sethi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194763920 PECOS PAC ID: 0244292407 Enrollment ID: I20041029000753 |
| Provider Name | Fizza J Bokhari |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447407291 PECOS PAC ID: 7719045848 Enrollment ID: I20081018000194 |
| Provider Name | Carol A Markowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871674291 PECOS PAC ID: 1557541521 Enrollment ID: I20110208000568 |
| Provider Name | Ruth Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235119066 PECOS PAC ID: 4486836780 Enrollment ID: I20110308000646 |
| Provider Name | Alfonsina Larocca-tocco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235512997 PECOS PAC ID: 6002180064 Enrollment ID: I20170914003442 |
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