Healthcare Provider Details

I. General information

NPI: 1265001838
Provider Name (Legal Business Name): COMPREHENSIVE GASTROINTESTINAL AND MEDICAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2021
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 WALL ST FL 20
NEW YORK NY
10005-2123
US

IV. Provider business mailing address

166 E 88TH ST STE 1
NEW YORK NY
10128-2255
US

V. Phone/Fax

Practice location:
  • Phone: 347-298-4100
  • Fax: 347-227-1368
Mailing address:
  • Phone: 212-410-3350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM PULLANO
Title or Position: CEO/MEDICAL DIRECTOR
Credential: MD
Phone: 212-410-3350