1932427499 NPI number — COMPREHENSIVE CONSULTATION PSYCHOLOGICAL SERVICES, P.C.

Table of content: (NPI 1932427499)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932427499 NPI number — COMPREHENSIVE CONSULTATION PSYCHOLOGICAL SERVICES, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMPREHENSIVE CONSULTATION PSYCHOLOGICAL SERVICES, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
COMPREHENSIVE CONSULTATION
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932427499
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/08/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8460 123RD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KEW GARDENS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11415-3305
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-441-0166
Provider Business Mailing Address Fax Number:
718-805-2054

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8460 123RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KEW GARDENS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11415-3305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-441-0166
Provider Business Practice Location Address Fax Number:
718-805-2054
Provider Enumeration Date:
05/08/2010

Additional Information

Authorized Official

Authorized Official Last Name:
HAFEEZ
Authorized Official First Name:
SANAM
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
718-441-0166

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103G00000X , with the licence number: 68-016117 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103T00000X , with the licence number: 68-016117 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC2200X , with the licence number: 68-016117 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TF0200X , with the licence number: 68-016117 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TM1800X , with the licence number: 68-016117 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TS0200X , with the licence number: 68-016117 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041S0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0402X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0804X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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