Provider Demographics
NPI:1710206735
Name:COMPREHENSIVE GROUP SERVICES 2000 LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE GROUP SERVICES 2000 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:877-896-9301
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:877-896-9301
Mailing Address - Fax:216-896-9302
Practice Address - Street 1:3527 HARLEM RD
Practice Address - Street 2:SUITE 11
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14225-1552
Practice Address - Country:US
Practice Address - Phone:877-896-9301
Practice Address - Fax:216-896-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106997207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty