Provider Demographics
NPI:1366251605
Name:KOMENDYAK HEALTH NP PC
Entity type:Organization
Organization Name:KOMENDYAK HEALTH NP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:IRYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMENDYAK
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:917-741-0550
Mailing Address - Street 1:2455 HARING ST APT 1H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1821
Mailing Address - Country:US
Mailing Address - Phone:917-741-0550
Mailing Address - Fax:
Practice Address - Street 1:2455 HARING ST APT 1H
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1821
Practice Address - Country:US
Practice Address - Phone:917-741-0550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty