Healthcare Provider Details

I. General information

NPI: 1679502785
Provider Name (Legal Business Name): ALBERTO COMAS ESPINAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 WADSWORTH AVE SUITE 4
NEW YORK NY
10033-4828
US

IV. Provider business mailing address

129 WADSWORTH AVE SUITE 4
NEW YORK NY
10033-4828
US

V. Phone/Fax

Practice location:
  • Phone: 212-781-6053
  • Fax: 212-740-5163
Mailing address:
  • Phone: 212-781-6053
  • Fax: 212-740-5163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number167169
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number167169
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: