Provider Demographics
NPI:1275787103
Name:COMPREHENSIVE MEDICAL SERVICES NEW YORK, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE MEDICAL SERVICES NEW YORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRISCHKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-896-9301
Mailing Address - Street 1:24050 COMMERCE PARK
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5833
Mailing Address - Country:US
Mailing Address - Phone:216-896-9301
Mailing Address - Fax:216-896-9302
Practice Address - Street 1:24050 COMMERCE PARK
Practice Address - Street 2:SUITE 100
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5833
Practice Address - Country:US
Practice Address - Phone:216-896-9301
Practice Address - Fax:216-896-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty