Provider Demographics
NPI:1265001838
Name:COMPREHENSIVE GASTROINTESTINAL AND MEDICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE GASTROINTESTINAL AND MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PULLANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-410-3350
Mailing Address - Street 1:166 E 88TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-2255
Mailing Address - Country:US
Mailing Address - Phone:212-410-3350
Mailing Address - Fax:
Practice Address - Street 1:14 WALL ST FL 20
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-2123
Practice Address - Country:US
Practice Address - Phone:347-298-4100
Practice Address - Fax:347-227-1368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-18
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty