Provider Demographics
NPI:1750684791
Name:COMPREHENSIVE RESOURCES
Entity Type:Organization
Organization Name:COMPREHENSIVE RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARYNICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DECRISTOFORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-561-6731
Mailing Address - Street 1:8420 153RD AVE
Mailing Address - Street 2:APT 4K
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-1944
Mailing Address - Country:US
Mailing Address - Phone:347-561-6731
Mailing Address - Fax:347-561-6731
Practice Address - Street 1:1663 E 17TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1259
Practice Address - Country:US
Practice Address - Phone:718-998-0200
Practice Address - Fax:718-339-4172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY560274251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care