Comprehensive Medical Services New York 2008, Pllc | |
444 Merrick Rd Suite 100 Lynbrook NY 11563-2460 | |
(216) 896-9301 | |
(216) 896-9302 |
Full Name | Comprehensive Medical Services New York 2008, Pllc |
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Speciality | Internal Medicine |
Location | 444 Merrick Rd, Lynbrook, New York |
Authorized Official Name and Position | Michael Grischkan (SECRETARY) |
Authorized Official Contact | 2168969301 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Medical Services New York 2008, Pllc 265 Sunrise Hwy Ste 109 Rockville Centre NY 11570-4912 Ph: (516) 872-2150 | Comprehensive Medical Services New York 2008, Pllc 444 Merrick Rd Suite 100 Lynbrook NY 11563-2460 Ph: (216) 896-9301 |
NPI Number | 1134454960 |
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Provider Enumeration Date | 10/13/2009 |
Last Update Date | 09/25/2024 |
Medicare PECOS PAC ID | 2163561762 |
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Medicare Enrollment ID | O20091119000607 |
Identifier | Type | State | Issuer |
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1134454960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ari M Simckes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548299449 PECOS PAC ID: 9234136581 Enrollment ID: I20061028000036 |
Provider Name | Henry M Zupnick |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417009895 PECOS PAC ID: 2668661737 Enrollment ID: I20110105001258 |
Provider Name | Ventricia H Victor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225319783 PECOS PAC ID: 0446401335 Enrollment ID: I20121128000088 |
Provider Name | Renee A Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174010284 PECOS PAC ID: 7012265325 Enrollment ID: I20180802002224 |
Provider Name | Dorothy Fanara |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730712084 PECOS PAC ID: 9638590201 Enrollment ID: I20200608000545 |
Provider Name | Allison M Criscuolo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265053748 PECOS PAC ID: 2062831738 Enrollment ID: I20200929003057 |
Provider Name | Karen K Mcdonald |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063542322 PECOS PAC ID: 3476964958 Enrollment ID: I20201205000190 |
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