Healthcare Provider Details

I. General information

NPI: 1194981175
Provider Name (Legal Business Name): COMPREHENSIVE HAND SURGERY P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 02/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 FORT HAMILTON PKWY
BROOKLYN NY
11219-3345
US

IV. Provider business mailing address

4901 FORT HAMILTON PKWY
BROOKLYN NY
11219-3345
US

V. Phone/Fax

Practice location:
  • Phone: 718-435-4944
  • Fax: 718-435-1249
Mailing address:
  • Phone: 718-435-4944
  • Fax: 718-435-1249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number114030
License Number StateNY

VIII. Authorized Official

Name: DR. MUKUND R PATEL
Title or Position: DOCTOR
Credential: M.D.
Phone: 718-435-4944