Provider Demographics
NPI:1679502785
Name:COMAS ESPINAL, ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:
Last Name:COMAS ESPINAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 WADSWORTH AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-4828
Mailing Address - Country:US
Mailing Address - Phone:212-781-6053
Mailing Address - Fax:212-740-5163
Practice Address - Street 1:129 WADSWORTH AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-4828
Practice Address - Country:US
Practice Address - Phone:212-781-6053
Practice Address - Fax:212-740-5163
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY167169208000000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00966261Medicaid
NY00966261Medicaid
NYBE0591924OtherDEA
NYC12242Medicare UPIN