Provider Demographics
NPI:1659815298
Name:COMPREHENSIVE BEHAVIOR CARE MEDICAL SOLUTIONS PC
Entity Type:Organization
Organization Name:COMPREHENSIVE BEHAVIOR CARE MEDICAL SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEBSY
Authorized Official - Middle Name:C
Authorized Official - Last Name:ESTEFAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-248-8145
Mailing Address - Street 1:3050 CORLEAR AVE
Mailing Address - Street 2:APT PHB
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-5180
Mailing Address - Country:US
Mailing Address - Phone:347-248-8145
Mailing Address - Fax:
Practice Address - Street 1:3050 CORLEAR AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-5180
Practice Address - Country:US
Practice Address - Phone:347-248-8145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty