Healthcare Provider Details

I. General information

NPI: 1750684791
Provider Name (Legal Business Name): COMPREHENSIVE RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2010
Last Update Date: 12/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1663 E 17TH ST
BROOKLYN NY
11229-1259
US

IV. Provider business mailing address

8420 153RD AVE APT 4K
HOWARD BEACH NY
11414-1944
US

V. Phone/Fax

Practice location:
  • Phone: 718-998-0200
  • Fax: 718-339-4172
Mailing address:
  • Phone: 347-561-6731
  • Fax: 347-561-6731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number560274
License Number StateNY

VIII. Authorized Official

Name: MISS MARYNICOLE DECRISTOFORO
Title or Position: RN
Credential:
Phone: 347-561-6731