Individual
MAURA CONFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8312
Mailing address
141 OXFORD BLVD, GARDEN CITY, NY 11530-1407
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002691
NY
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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