Healthcare Provider Details

I. General information

NPI: 1720418551
Provider Name (Legal Business Name): COMFORT MEDICAL CARE P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2013
Last Update Date: 11/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 HAMILTON DR
ROSLYN NY
11576-3103
US

IV. Provider business mailing address

15 HAMILTON DR
ROSLYN NY
11576-3103
US

V. Phone/Fax

Practice location:
  • Phone: 917-698-0941
  • Fax: 718-636-0112
Mailing address:
  • Phone: 917-698-0941
  • Fax: 718-636-0112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number238129
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number270851
License Number StateNY

VIII. Authorized Official

Name: MR. ATAUL H.M. OSMANI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 917-698-0941