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1720675580
DOMENIC FACCIOLA
EAST MEADOW, NY
NPI
1720675580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 040488)
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
DOMENIC FACCIOLA PT,DPT
801 MERRICK AVE
EAST MEADOW, NY 11554-4748
Phone number: 516-393-8900
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Mailing Address
DOMENIC FACCIOLA PT,DPT
1983 MARCUS AVE STE 119
NEW HYDE PARK, NY 11042-1016
Phone number: 516-321-7526
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