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General NPI Number Information
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NPI Number | 1316163025
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Entity Type | Individual
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Provider Name | ARIANA ROSE KOMAROFF NP
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 1600 HARRISON AVE STE G105-2
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City | MAMARONECK
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State | NY
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Zip | 10543-3145
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Country | US
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Telephone | 914-412-6335
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Fax | 914-357-2727
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Provider Business Mailing Address
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Address Line | 1600 HARRISON AVE STE G105-2
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City | MAMARONECK
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State | NY
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Zip | 10543-3145
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Country | US
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Telephone | 914-412-6335
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Fax | 914-357-2727
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 512951
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 006193
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 334364
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License Number State | NY
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