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Organization
COMPERHENSIVE PROMARY FAMILY MEDICAL CARE OF NY PLLC
Active
Organization
COMPERHENSIVE PROMARY FAMILY MEDICAL CARE OF NY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FARNAZ FAHIMIRAD CDN (NUTRTIONIST)
(917) 794-9175
Entity
Organization
Contact information
Practice address
1319 CORNAGA AVE FL 1, FAR ROCKAWAY, NY 11691-5004
(347) 526-6968
Mailing address
1319 CORNAGA AVE FL 1, FAR ROCKAWAY, NY 11691-5004
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
—
—
Other
Enumeration date
01/01/2016
Last updated
01/01/2016
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