Provider Demographics
NPI:1134429012
Name:COMLY, ANDREW ROBERT (OD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ROBERT
Last Name:COMLY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2781 PALISADES CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-6407
Mailing Address - Country:US
Mailing Address - Phone:845-348-9331
Mailing Address - Fax:845-348-9330
Practice Address - Street 1:2781 PALISADES CENTER DR
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-6407
Practice Address - Country:US
Practice Address - Phone:845-348-9331
Practice Address - Fax:845-348-9330
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007603-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist