Provider Demographics
NPI:1023589652
Name:COMIA, MARK ANGELO M (PT)
Entity type:Individual
Prefix:
First Name:MARK ANGELO
Middle Name:M
Last Name:COMIA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:1255 5TH AVE FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-3852
Mailing Address - Country:US
Mailing Address - Phone:914-400-1500
Mailing Address - Fax:914-478-8781
Practice Address - Street 1:139 E 57TH ST
Practice Address - Street 2:2ND AND 3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2102
Practice Address - Country:US
Practice Address - Phone:914-400-1500
Practice Address - Fax:914-478-8781
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist