Organization
COMPREHENSIVE FAMILY MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK MERCER (CREDENTIALING MANAGER)
(718) 841-7318
Entity
Organization
Contact information
Practice address
488 E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7328
(631) 470-2572
(631) 759-2921
Mailing address
488 E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7328
(631) 470-2572
(631) 759-2921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
238105-1
NY
Other
Enumeration date
05/30/2017
Last updated
12/31/2025
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