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Organization

COMPREHENSIVE ISLAND MEDICAL CARE LLC

Active
Other names
Comprehensive Island Medical Care LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YANIRA RAZA MD (PHYSICIAN)
(631) 486-4834
Entity
Organization

Contact information

Practice address
6080 JERICHO TPKE STE 205, COMMACK, NY 11725-2808
(631) 486-4834
(631) 486-5029
Mailing address
6080 JERICHO TPKE STE 205, COMMACK, NY 11725-2808
(631) 486-4834
(631) 486-5029

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
08/19/2006
Last updated
01/30/2020
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