# COMPREHENSIVE DIAGNOSTICS AND IMAGING PC

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

## Provider details

- **NPI number:** 1346661808
- **Authorized official:** DR. DANIEL SHIFTEH M.D (OWNER/ DIRECTOR)
- **Authorized official phone:** (877) 372-3266

## Contact information

- **Practice address:** 200 EAST 36 STREET, 11C, NEW YORK, NY 10016
- **Practice address phone:** (646) 429-8748
- **Practice address fax:** (877) 372-3266
- **Mailing address:** 200 EAST 36 STREET, 11C, NEW YORK, NY 10016
- **Mailing address phone:** (646) 429-8748
- **Mailing address fax:** (877) 372-3266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0600X | Clinical Neurophysiology Physician | 219733 | NY | — |
| 2085N0904X | Nuclear Radiology Physician | 219733 | NY | Yes |
| 2085R0202X | Diagnostic Radiology Physician | 219733 | NY | — |
| 208D00000X | General Practice Physician | 219733 | NY | — |

## Other

- **Enumeration date:** 12/30/2013
- **Last updated:** 12/30/2013