Provider Demographics
NPI:1265701346
Name:COMETA, EDITH B (SETTS)
Entity type:Individual
Prefix:MRS
First Name:EDITH
Middle Name:B
Last Name:COMETA
Suffix:
Gender:F
Credentials:SETTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 MEEHAN AVE
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5517
Mailing Address - Country:US
Mailing Address - Phone:171-847-1056
Mailing Address - Fax:
Practice Address - Street 1:99 ESSEX ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-3207
Practice Address - Country:US
Practice Address - Phone:121-256-6885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY522371390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program