Provider Demographics
NPI:1477727733
Name:COMPA, DAMIAN RUPERT (MD)
Entity Type:Individual
Prefix:
First Name:DAMIAN
Middle Name:RUPERT
Last Name:COMPA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:711 TROY SCHENECTADY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-783-3110
Mailing Address - Fax:518-782-3900
Practice Address - Street 1:2125 RIVER RD STE 203
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1110
Practice Address - Country:US
Practice Address - Phone:518-831-8530
Practice Address - Fax:518-831-8545
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2020-03-18
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Provider Licenses
StateLicense IDTaxonomies
NY232742207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease