Provider Demographics
NPI:1497727796
Name:COMO, MICHAEL VINCENT (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:VINCENT
Last Name:COMO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:233 E SHORE RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-2433
Mailing Address - Country:US
Mailing Address - Phone:516-482-7810
Mailing Address - Fax:516-829-6887
Practice Address - Street 1:233 E SHORE RD
Practice Address - Street 2:SUITE 112
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11023-2433
Practice Address - Country:US
Practice Address - Phone:516-482-7810
Practice Address - Fax:516-829-6887
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2009-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY210616207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI01307Medicare UPIN
NY7V6461Medicare ID - Type Unspecified