Provider Demographics
NPI:1598767048
Name:COMBER, PAUL GERALD (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:GERALD
Last Name:COMBER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:48 ERIE BLVD.
Mailing Address - Street 2:CANAJOHARIE HEALTH CENTER
Mailing Address - City:CANAJOHARIE
Mailing Address - State:NY
Mailing Address - Zip Code:13317-1133
Mailing Address - Country:US
Mailing Address - Phone:518-673-2573
Mailing Address - Fax:518-673-2781
Practice Address - Street 1:48 ERIE BLVD.
Practice Address - Street 2:CANAJOHARIE HEALTH CENTER
Practice Address - City:CANAJOHARIE
Practice Address - State:NY
Practice Address - Zip Code:13317-1133
Practice Address - Country:US
Practice Address - Phone:518-673-2573
Practice Address - Fax:518-673-2781
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY214268-12080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01991097Medicaid
NY01991097Medicaid
NYH07045Medicare UPIN