United Comprehensive Care, Ltd | |
170 Old Country Rd Riverhead NY 11901-2198 | |
(631) 473-7100 | |
Not Available |
Full Name | United Comprehensive Care, Ltd |
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Speciality | Clinic/center |
Location | 170 Old Country Rd, Riverhead, New York |
Authorized Official Name and Position | Kenneth Gaul (CEO) |
Authorized Official Contact | 6314737100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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United Comprehensive Care, Ltd 170 Old Country Rd Riverhead NY 11901-2198 Ph: (631) 473-7100 | United Comprehensive Care, Ltd 170 Old Country Rd Riverhead NY 11901-2198 Ph: (631) 473-7100 |
NPI Number | 1841554144 |
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Provider Enumeration Date | 07/02/2012 |
Last Update Date | 05/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841554144 | NPI | - | NPPES |
515203R | Other | NY | NYS DOH OPERATING CERTIFICATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (New York) | Primary |
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