=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609635838
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARIANA KOMAROFF, DNP, NURSE PRACTITIONER IN FAMILY HEALTH, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/18/2024
-----------------------------------------------------
Last Update Date | 04/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1600 HARRISON AVE STE G105-2
-----------------------------------------------------
City | MAMARONECK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10543-3145
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-406-9834
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1600 HARRISON AVE STE G105-2
-----------------------------------------------------
City | MAMARONECK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10543-3145
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-412-6335
-----------------------------------------------------
Fax | 914-357-2727
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ARIANA KOMAROFF
-----------------------------------------------------
Credential | DNP, FNP-BC, IBCLC
-----------------------------------------------------
Telephone | 917-406-9834
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WL0100X
-----------------------------------------------------
Taxonomy Name | Lactation Consultant (Registered Nurse)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------