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Individual
MR. JOHN RICHARD COMSTOCK
Active
Individual
MR. JOHN RICHARD COMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0086901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011231701
UNIVERA
—
05
—
01595106
—
NY
01
—
4544875
AETNA
—
01
—
6699978
GHI
—
01
—
9308455
IND HEALTH
—
Enumeration date
12/27/2006
Last updated
07/08/2007
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