Provider Demographics
NPI:1225182512
Name:COMI, PAULA J (CPNP)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:J
Last Name:COMI
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-3352
Mailing Address - Country:US
Mailing Address - Phone:718-643-7290
Mailing Address - Fax:
Practice Address - Street 1:122 AMSTERDAM AVE
Practice Address - Street 2:SCHOOL BASED CLINIC AT MARTIN LUTHER KING HS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6407
Practice Address - Country:US
Practice Address - Phone:212-501-1276
Practice Address - Fax:212-721-3369
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY296755363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics