Healthcare Provider Details

I. General information

NPI: 1538220033
Provider Name (Legal Business Name): MELANIE CHRISTINE COMER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HILLSIDE AVE STE 101
WILLISTON PARK NY
11596-2347
US

IV. Provider business mailing address

112 MAOLIS AVE
BLOOMFIELD NJ
07003-2333
US

V. Phone/Fax

Practice location:
  • Phone: 516-418-7724
  • Fax: 516-531-8931
Mailing address:
  • Phone: 973-680-1952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number407451
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number000821
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: