Doctor Name: | MRS. SUSAN B COMSTOCK |
NPI Number: | 1063785236 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 433698-1 |
Business Practice Address: | 68 School Dr Central Square, NY - 130363514 |
Business Phone Number: | 3156684228 |
Business Fax Number: | 3156684348 |
Mailing Address: | 68 School Dr, CENTRAL SQUARE |
State: | NY |
Postal Code: | 130363514 |
Phone Number: | 3156684228 |
Fax Number: | 3156684348 |
NPI Enumeration Date: | 02/17/2012 |
NPI Last Update Date: | 02/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 433698-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |