National Provider Identifier
Maria Komissarova
Maria Komissarova is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Williamsville, NY and a listed phone number of (716) 631-2500.
Profile Overview
- NPI
- 1053570606
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- June 07, 2008
- Last Updated
- April 20, 2020
Practice Location
- 55 Spindrift Dr
- Williamsville, NY 14221-7800
Phone: (716) 631-2500
Specialties
- Diagnostic Radiology Physician (2085R0202X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1053570606
- Entity Type
- Individual
- Last Name
- Komissarova
- First Name
- Maria
- Mailing Street Address
- 55 Spindrift Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-7800
- Mailing Country
- US
- Mailing Phone
- (716) 631-2500
- Practice Street Address
- 55 Spindrift Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7800
- Practice Country
- US
- Practice Phone
- (716) 631-2500
- Enumeration Date
- June 07, 2008
- Last Updated
- April 20, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 20, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X), Student in an Organized Health Care Education/Training Program (390200000X)