Provider Demographics
NPI:1881582708
Name:MEDICAL COMPREHENSIVE CARE P.C.
Entity type:Organization
Organization Name:MEDICAL COMPREHENSIVE CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:SU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-267-9142
Mailing Address - Street 1:14474 NORTHERN BLVD APT PHH
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4588
Mailing Address - Country:US
Mailing Address - Phone:646-267-9142
Mailing Address - Fax:
Practice Address - Street 1:13630 MAPLE AVE STE 2F
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3867
Practice Address - Country:US
Practice Address - Phone:929-659-2232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty