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General NPI Number Information
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NPI Number | 1881582708
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Entity Type | Organization
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Legal Business Name | MEDICAL COMPREHENSIVE CARE P.C.
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 13630 MAPLE AVE STE 2F
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City | FLUSHING
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State | NY
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Zip | 11355-3867
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Country | US
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Telephone | 929-659-2232
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Fax |
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Provider Business Mailing Address
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Address Line | 14474 NORTHERN BLVD APT PHH
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City | FLUSHING
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State | NY
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Zip | 11354-4588
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Country | US
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Telephone | 646-267-9142
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JOE SU
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Credential | MD
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Telephone | 646-267-9142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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