Provider Demographics
NPI:1154046472
Name:COMPREHENSIVE RADIOLOGY, PLLC
Entity type:Organization
Organization Name:COMPREHENSIVE RADIOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:SCLAFANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-242-2022
Mailing Address - Street 1:166 W 18TH ST APT 6E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-5479
Mailing Address - Country:US
Mailing Address - Phone:516-242-2022
Mailing Address - Fax:
Practice Address - Street 1:960 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-2946
Practice Address - Country:US
Practice Address - Phone:516-515-1192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty