Organization
COMPERHENSIVE PROMARY FAMILY MEDICAL CARE OF NY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FARNAZ FAHIMIRAD CDN (NUTRTIONIST)
(917) 794-9175
Entity
Organization
Contact information
Practice address
1319 CORNAGA AVE FL 1, FAR ROCKAWAY, NY 11691-5004
(347) 526-6968
Mailing address
1319 CORNAGA AVE FL 1, FAR ROCKAWAY, NY 11691-5004
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
—
—
Other
Enumeration date
01/01/2016
Last updated
01/01/2016
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