Provider Demographics
NPI:1639396864
Name:COMITE, STEPHEN L (MD)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:L
Last Name:COMITE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:104 EAST 40TH STREET
Mailing Address - Street 2:SUITE 402
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-557-2600
Mailing Address - Fax:212-557-6065
Practice Address - Street 1:104 EAST 40TH STREET
Practice Address - Street 2:SUITE 402
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-557-2600
Practice Address - Fax:212-557-6065
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY156631207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY73D801Medicare ID - Type Unspecified
A64059Medicare UPIN