Organization
COMPREHENSIVE MEDICAL REVIEWS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER E DISTLER (CEO)
(631) 393-6141
Entity
Organization
Contact information
Practice address
5444 MERRICK RD, MASSAPEQUA, NY 11758-6213
(631) 393-6141
Mailing address
5444 MERRICK RD, MASSAPEQUA, NY 11758-6213
(631) 393-6141
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
209800000X
Legal Medicine (M.D./D.O.) Physician
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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