Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N004469-1 | NY |
N | 222Z00000X | Podiatrist | N004469-1 | NY |
N | 213EP0504X | Public Medicine | N004469-1 | NY |
N | 213EP1101X | Primary Podiatric Medicine | N004469-1 | NY |
N | 111NR0200X | Radiology | N004469-1 | NY |
N | 213ER0200X | Radiology | N004469-1 | NY |
N | 2081S0010X | Sports Medicine | N004469-1 | NY |
N | 213ES0000X | Sports Medicine | N004469-1 | NY |
N | 213ES0131X | Foot Surgery | N004469-1 | NY |
NPI | 1083707491 |
---|---|
Provider Name | Dr. Joseph R Comba |
First Address | Farmingville, NY 11738-2130 |
Second Address | Farmingville, NY 11738-2130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0019389 | GHI # (01) | NY |
01129359 | (05) | NY |
3657560001 | DME-MEDICARE # (01) | NY |
T-97136 | (02) | NY |