MEDICARE: COMPREHENSIVE NEUROLOGY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1285703827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE NEUROLOGY PC

Provider Business Mailing Address
First Line	:	2546 E 11TH ST
Second Line	:	2ND FL
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5012
Country	:	US
Telephone Number	:	917-744-0413
Fax Number	:

Provider Business Practice Location Address
First Line	:	2546 E 11TH ST
Second Line	:	2ND FL
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5012
Country	:	US
Telephone Number	:	917-744-0413
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GENE ZITSER
Credential	:	MD
Telephone Number	:	917-744-0413

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	08/22/2020

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