Organization
COMPREHENSIVE PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK FARACI MD (PHYSICIAN PRESIDENT)
(718) 256-1057
Entity
Organization
Contact information
Practice address
1407 WEST 6TH STREET, 3RD FLOOR, BROOKLYN, NY 11204
(718) 256-1057
(718) 256-4912
Mailing address
1407 WEST 6TH STREET, 3RD FLOOR, BROOKLYN, NY 11204
(718) 256-1057
(718) 256-4912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1591971
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NF04105310
—
NY
Enumeration date
04/28/2008
Last updated
04/28/2008
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