Provider Demographics
NPI:1386867216
Name:COMPREHENSIVE CONSULTATION SERVICES
Entity Type:Organization
Organization Name:COMPREHENSIVE CONSULTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SANAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAFEEZ-KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:646-210-1792
Mailing Address - Street 1:8460 123RD ST
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-3305
Mailing Address - Country:US
Mailing Address - Phone:718-441-0166
Mailing Address - Fax:718-805-2054
Practice Address - Street 1:8460 123RD ST
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-3305
Practice Address - Country:US
Practice Address - Phone:718-441-0166
Practice Address - Fax:718-805-2054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68-016117251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health