DOMINIC A BRACCO

MINEOLA, NY
NPI1124310164
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  013894)
Enumeration Date2011-05-10
Last Update Date2011-05-10
Business Address
Mr. DOMINIC A BRACCO RPAC
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-8312
Mailing Address
Mr. DOMINIC A BRACCO RPAC
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-8312
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