Provider Demographics
NPI:1346984002
Name:COMILLAS, MARIA CHRISTINA (RN)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:CHRISTINA
Last Name:COMILLAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 DARK HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-2048
Mailing Address - Country:US
Mailing Address - Phone:631-473-5400
Mailing Address - Fax:
Practice Address - Street 1:150 DARK HOLLOW RD
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-2048
Practice Address - Country:US
Practice Address - Phone:631-473-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY595560163WI0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0600XNursing Service ProvidersRegistered NurseInfection Control