Provider Demographics
NPI:1841447703
Name:KOMOROWSKA, KATARZYNA ZOFIA (DC)
Entity type:Individual
Prefix:MRS
First Name:KATARZYNA
Middle Name:ZOFIA
Last Name:KOMOROWSKA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 E KING RD
Mailing Address - Street 2:STUDIO 51
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850
Mailing Address - Country:US
Mailing Address - Phone:607-342-1662
Mailing Address - Fax:
Practice Address - Street 1:123 E KING RD
Practice Address - Street 2:STUDIO 51
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850
Practice Address - Country:US
Practice Address - Phone:607-342-1662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0108521111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor