Provider Demographics
NPI:1538301858
Name:COMAS, MARY B
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:B
Last Name:COMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 INCOGNITO LN
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-2504
Mailing Address - Country:US
Mailing Address - Phone:914-923-0768
Mailing Address - Fax:914-332-5701
Practice Address - Street 1:4 INCOGNITO LN
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-2504
Practice Address - Country:US
Practice Address - Phone:914-923-0768
Practice Address - Fax:914-332-5701
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003354235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist