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NPI Code Detail

MEDICARE: KELLY A COMERFORD DC

MEDICARE:   KELLY A COMERFORD  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NI0900XInternist Chiropractor0058732NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110026115OTHERNYCDPHP
2X43501OTHERNYBCBS

General Provider Information

NPI Number : 1508862228
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY A COMERFORD DC
Provider Business Mailing Address
First Line : 3403 CARMAN RD
Second Line :
City : SCHENECTADY
State : NY
Zip : 12303-5319
Country : US
Telephone Number : 518-356-9835
Fax Number : 518-357-0470
Provider Business Practice Location Address
First Line : 3403 CARMAN RD
Second Line :
City : SCHENECTADY
State : NY
Zip : 12303
Country : US
Telephone Number : 518-356-9835
Fax Number : 518-357-0470
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 09/12/2018

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Directions to “ KELLY A COMERFORD DC” Practice Location

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