Provider Demographics
NPI:1275387987
Name:COMO, MARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:COMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:COMO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:718 THE PLAIN RD STE 3
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-5956
Mailing Address - Country:US
Mailing Address - Phone:516-333-1236
Mailing Address - Fax:
Practice Address - Street 1:915 WESTBURY RD
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-5843
Practice Address - Country:US
Practice Address - Phone:516-790-9048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator