Individual
KALLIE DESMOND COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1100
Mailing address
56-44 MAIN STREET, C/O LILY HI, FLUSHING, NY 11355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
299226
NY
Other
Enumeration date
04/26/2016
Last updated
04/20/2020
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