MEDICARE: COMPREHENSIVE OCCUPATIONAL MEDICAL SERVICES, 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	2083X0100X	Occupational Medicine Physician	177914-1	NY

General Provider Information

NPI Number	:	1427174572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE OCCUPATIONAL MEDICAL SERVICES, PC

Provider Business Mailing Address
First Line	:	51 WEBSTER ST
Second Line	:
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-5811
Country	:	US
Telephone Number	:	716-692-6541
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 WEBSTER ST
Second Line	:
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-5811
Country	:	US
Telephone Number	:	716-692-6541
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GORDON CHRISTOPHER STEINAGLE
Credential	:	M.P.H.,D.O.
Telephone Number	:	716-692-6541

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	08/22/2020

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