| Doctor Name: | MR. RONALD D COMBS |
| NPI Number: | 1003861196 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A. |
| License Number: | 001141 |
| Business Practice Address: | 5645 Main St Flushing, NY - 113555045 |
| Business Phone Number: | 7184450220 |
| Business Fax Number: | 7189391167 |
| Mailing Address: | 5645 Main St, FLUSHING |
| State: | NY |
| Postal Code: | 113555045 |
| Phone Number: | 7184450220 |
| Fax Number: | 7189391167 |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 01/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 001141 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |