Provider Demographics
NPI:1427174572
Name:COMPREHENSIVE OCCUPATIONAL MEDICAL SERVICES, PC
Entity type:Organization
Organization Name:COMPREHENSIVE OCCUPATIONAL MEDICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:STEINAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MPH,DO
Authorized Official - Phone:716-692-6541
Mailing Address - Street 1:51 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-5811
Mailing Address - Country:US
Mailing Address - Phone:716-692-6541
Mailing Address - Fax:
Practice Address - Street 1:51 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-5811
Practice Address - Country:US
Practice Address - Phone:716-692-6541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY177914-12083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty