Individual
KOMAL AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 FAIRFIELD WAY APT 1, COMMACK, NY 11725-3414
(631) 462-0473
Mailing address
25 FAIRFIELD WAY APT 1, COMMACK, NY 11725-3414
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
231868
NY
208D00000X
General Practice Physician
Primary
231868
NY
Other
Enumeration date
05/08/2013
Last updated
04/03/2019
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