Healthcare Provider Details

I. General information

NPI: 1053446872
Provider Name (Legal Business Name): COMPREHENSIVE GERIATRIC CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3224 GRAND CONCOURSE #BA
BRONX NY
10458-1008
US

IV. Provider business mailing address

3224 GRAND CONCOURSE #BA
BRONX NY
10458-1008
US

V. Phone/Fax

Practice location:
  • Phone: 718-561-0041
  • Fax: 718-561-0041
Mailing address:
  • Phone: 718-561-0041
  • Fax: 718-561-0188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberR036928
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number185701
License Number StateNY

VIII. Authorized Official

Name: DR. JOMARIE ZELEZNIK
Title or Position: CEO
Credential: MD
Phone: 718-561-0041