Organization
NY COMPREHENSIVE MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAQUEL G KELLY (OFFICE MANAGER)
(212) 219-8969
Entity
Organization
Contact information
Practice address
40-42 ELIZABETH STREET, SUITE 303, NEW YORK, NY 10013
(212) 219-8969
(212) 219-1294
Mailing address
PO BOX 520670, FLUSHING, NY 11352-0670
(212) 219-8969
(212) 219-1294
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
001367
NY
207R00000X
Internal Medicine Physician
130031
NY
208100000X
Physical Medicine & Rehabilitation Physician
022580
NY
2084N0400X
Neurology Physician
167790
NY
246ZE0500X
EEG Specialist/Technologist
167790
NY
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
167790
NY
247100000X
Radiologic Technologist
107344-1
NY
Other
Enumeration date
01/05/2007
Last updated
09/11/2025
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