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General NPI Number Information
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NPI Number | 1578353215
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MEDICAL SERVICES NEW YORK, P.C.
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 100 CHURCH ST FL 8
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City | NEW YORK
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State | NY
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Zip | 10007-2614
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Country | US
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Telephone | 773-741-4452
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Fax |
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Provider Business Mailing Address
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Address Line | 361 NEWBURY ST FL 5
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City | BOSTON
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State | MA
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Zip | 02115-2727
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Country | US
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Telephone | 773-741-4452
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. TRENT T HAYWOOD
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Credential | MD
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Telephone | 773-741-4452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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