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Individual

MYRNA KCOMT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
68 HARRIS-BUSHVILLE ROAD, CATSKILL REGIONAL MEDICAL CENTER, HARRIS, NY 12742
(845) 794-3300
(845) 790-2675
Mailing address
2 CATHARINE ST, P.O. BOX 550, POUGHKEEPSIE, NY 12601-3100
(866) 885-2318

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
002216-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02691481
NY
Enumeration date
07/09/2006
Last updated
07/08/2007
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