Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | R60328 | NY |
NPI | 1104074681 |
---|---|
Provider Name | Dr. Dominic Curatola |
First Address | Massapequa, NY 11758-4220 |
Second Address | Massapequa, NY 11758-4220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 25/07/2012 |