# COMPREHENSIVE MEDICAL DIAGNOSTIC, PC

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

## Provider details

- **NPI number:** 1619103470
- **Authorized official:** KRISTINA MIRBABAYEVA (MANAGER)
- **Authorized official phone:** (347) 492-3500

## Contact information

- **Practice address:** 2108 W 7TH ST, SUITE D, BROOKLYN, NY 11223-3754
- **Practice address phone:** (347) 492-3500
- **Practice address fax:** (347) 492-3499
- **Mailing address:** 2108 W 7TH ST, SUITE D, BROOKLYN, NY 11223-3754
- **Mailing address phone:** (347) 492-3500
- **Mailing address fax:** (347) 492-3499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | — | NULL | Yes |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | — | — | Yes |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | NULL | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | — | — |

## Other

- **Enumeration date:** 06/08/2009
- **Last updated:** 09/01/2011