Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 236097 | NY |
Y | 208200000X | Surgeon | 236097 | NY |
Y | 208600000X | Surgeon | 236097 | NY |
N | 2086S0122X | Plastic and Reconstructive Surgery | ME0087053 | FL |
NPI | 1225093149 |
---|---|
Provider Name | Dr. Dominick Imundi Golio |
First Address | New York, NY 10028-0212 |
Second Address | New York, NY 10028-0212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 03/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H94351 | (02) | FL |