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Organization
COMPREHENSIVE PODIATRIC CARE LLC
Active
Organization
COMPREHENSIVE PODIATRIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P. LYNN DPM (OWNER)
(516) 627-5775
Entity
Organization
Contact information
Practice address
935 NORTHERN BLVD, SUITE 107, GREAT NECK, NY 11021-5309
(516) 627-5775
(516) 627-6259
Mailing address
935 NORTHERN BLVD, SUITE 107, GREAT NECK, NY 11021-5309
(516) 627-5775
(516) 627-6259
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005264-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0914058
AETNA HMO
NY
01
—
108081P
HIP
NY
01
—
7102352
AETNA PPO
NY
01
—
MDNY
AA71987
NY
01
—
P2577825
OXFORD
NY
01
—
PG6691
EMPIRE BCBS
NY
Enumeration date
10/06/2006
Last updated
11/15/2007
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