Doctor Name: | MR. ALFRED MICHAEL COMERFORD |
NPI Number: | 1346409885 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ANP |
License Number: | 302561 |
Business Practice Address: | 45 Park Drive Rocky Point, NY - 11778 |
Business Phone Number: | 6318492752 |
Business Fax Number: | |
Mailing Address: | 45 Park Drive, ROCKY POINT |
State: | NY |
Postal Code: | 11778 |
Phone Number: | 6318492752 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2008 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | 302561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |