Individual
ERICA TROIA COMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7193 FARNHAM RD, MEMPHIS, NY 13112-8764
(315) 857-3186
Mailing address
7193 FARNHAM RD, MEMPHIS, NY 13112-8764
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
020275
NY
363AS0400X
Surgical Physician Assistant
Primary
—
NY
Other
Enumeration date
09/19/2016
Last updated
10/11/2016
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