# COMPREHENSIVE MEDICAL MULTI-SPECIALTY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CMMS PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598193880
- **Authorized official:** DR. DANIEL SHIFTEH M.D (MEDICAL DIRECTOR)
- **Authorized official phone:** (917) 804-6155

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 219733 | NY | Yes |

## Other

- **Enumeration date:** 10/23/2013
- **Last updated:** 10/23/2013
