Provider Demographics
NPI:1184643058
Name:FW COMPREHENSIVE MEDICAL CARE PC
Entity Type:Organization
Organization Name:FW COMPREHENSIVE MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GUNJEET
Authorized Official - Middle Name:MANDVI
Authorized Official - Last Name:SAHNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-568-8376
Mailing Address - Street 1:5700 ARLINGTON AVE
Mailing Address - Street 2:APT. 15-X
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1503
Mailing Address - Country:US
Mailing Address - Phone:718-549-7184
Mailing Address - Fax:
Practice Address - Street 1:46 FORT WASHINGTON AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-4788
Practice Address - Country:US
Practice Address - Phone:212-568-8376
Practice Address - Fax:212-568-8593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229087261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02598070Medicaid
NY637Z31Medicare ID - Type Unspecified
NY128457Medicare UPIN