# COMPREHENSIVE FAMILY PRACTICE PC

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

## Provider details

- **NPI number:** 1356470231
- **Authorized official:** YELENA KIPERVAS MD (OWNER)
- **Authorized official phone:** (570) 421-8196

## Contact information

- **Practice address:** 102 ROUTE 611 STE 2, BARTONSVILLE, PA 18321-9439
- **Practice address phone:** (570) 619-0080
- **Practice address fax:** (570) 476-6213
- **Mailing address:** 401 MAIN ST, STROUDSBURG, PA 18360-2404
- **Mailing address phone:** (570) 421-8196
- **Mailing address fax:** (570) 476-6213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OS011926 | PA | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 09/30/2011