Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 214268-1 | NY |
NPI | 1598767048 |
---|---|
Provider Name | Dr. Paul Gerald Comber |
First Address | Canajoharie, NY 13317-1133 |
Second Address | Canajoharie, NY 13317-1133 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 20/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01991097 | (05) | NY |
H07045 | (02) | NY |