MEDICARE: COMPREHENSIVE MEDICAL ASSOCIATES OF NEW YORK, LLP

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	207Q00000X	Family Medicine Physician	227362	NY
2	208D00000X	General Practice Physician	227362	NY

General Provider Information

NPI Number	:	1528252491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE MEDICAL ASSOCIATES OF NEW YORK, LLP

Provider Business Mailing Address
First Line	:	14449 70TH AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-1713
Country	:	US
Telephone Number	:	718-263-0600
Fax Number	:

Provider Business Practice Location Address
First Line	:	14449 70TH AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-1713
Country	:	US
Telephone Number	:	718-263-0600
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	ADAM D. ZEITLIN
Credential	:	D.O.
Telephone Number	:	718-263-0600

Provider Enumeration Date	:	09/04/2007
Last Update Date	:	09/04/2007

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