Individual
IRINA KOMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
545 1ST AVE, C-124, NEW YORK, NY 10016-6401
(201) 957-5217
Mailing address
545 1ST AVE, C-124, NEW YORK, NY 10016-6401
(201) 957-5217
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013211-1
NY
Other
Enumeration date
09/02/2009
Last updated
10/04/2012
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