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Organization
COMPREHENSIVE MEDICAL ASSIST P.C.
Active
Organization
COMPREHENSIVE MEDICAL ASSIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS A KHAIMOV D.O. (PHYSICIAN)
(516) 654-5551
Entity
Organization
Contact information
Practice address
11 GRACE AVE, SUITE 204, GREAT NECK, NY 11021-2446
(516) 654-5551
(516) 441-7625
Mailing address
PO BOX 747460, REGO PARK, NY 11374-7460
(516) 441-7625
(516) 441-7625
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
249224
NY
Other
Enumeration date
05/23/2016
Last updated
09/12/2016
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