# COMPREHENSIVE MEDICAL ASSIST P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194172890
- **Authorized official:** DR. BORIS A KHAIMOV D.O. (PHYSICIAN)
- **Authorized official phone:** (516) 654-5551

## Contact information

- **Practice address:** 11 GRACE AVE, SUITE 204, GREAT NECK, NY 11021-2446
- **Practice address phone:** (516) 654-5551
- **Practice address fax:** (516) 441-7625
- **Mailing address:** PO BOX 747460, REGO PARK, NY 11374-7460
- **Mailing address phone:** (516) 441-7625
- **Mailing address fax:** (516) 441-7625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 249224 | NY | Yes |

## Other

- **Enumeration date:** 05/23/2016
- **Last updated:** 09/12/2016