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Organization

COMPREHENSIVE PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAULA WNUK (BILLING DEPARTMENT)
(718) 848-1171
Entity
Organization

Contact information

Practice address
9511 101ST AVE, OZONE PARK, NY 11416-2500
(718) 848-1171
(718) 323-0032
Mailing address
9511 101ST AVE, OZONE PARK, NY 11416-2500
(718) 848-1171
(718) 323-0032

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
222937
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02367471
NY
01
1174504690 NPI
DR. FABIO MEHRGUT
NY
01
1477535300 NPI
DR. ELIZABETH AVARICIO
NY
Enumeration date
04/11/2007
Last updated
08/22/2020
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