Provider Demographics
NPI:1609635838
Name:ARIANA KOMAROFF, DNP, NURSE PRACTITIONER IN FAMILY HEALTH, P.C.
Entity type:Organization
Organization Name:ARIANA KOMAROFF, DNP, NURSE PRACTITIONER IN FAMILY HEALTH, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMAROFF
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-BC, IBCLC
Authorized Official - Phone:917-406-9834
Mailing Address - Street 1:1600 HARRISON AVE STE G105-2
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3145
Mailing Address - Country:US
Mailing Address - Phone:914-412-6335
Mailing Address - Fax:914-357-2727
Practice Address - Street 1:1600 HARRISON AVE STE G105-2
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3145
Practice Address - Country:US
Practice Address - Phone:917-406-9834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty