Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Comprehensive Family Medical Practice, PC

Organization Mental Health Counselor · NPI 1194023135

Comprehensive Family Medical Practice, PC is a Mental Health Counselor in Bayside, New York. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21008 35th Ave
Bayside, NY 11361-1431
Phone: (718) 229-4090
Fax: (866) 457-6793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Mental Health Counselor Taxonomy 101YM0800X
Specialist Taxonomy 174400000X

Record details

NPI number1194023135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jia Park — Owner · (718) 229-4090
NPI enumeratedFebruary 28, 2011
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021
Mailing address21008 35th Ave, Bayside, NY 11361-1431

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