DOMENIC FACCIOLA

EAST MEADOW, NY
NPI1720675580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  040488)
Enumeration Date2020-12-28
Last Update Date2020-12-28
Business Address
DOMENIC FACCIOLA PT,DPT
801 MERRICK AVE
EAST MEADOW, NY 11554-4748
Phone number: 516-393-8900
Mailing Address
DOMENIC FACCIOLA PT,DPT
1983 MARCUS AVE STE 119
NEW HYDE PARK, NY 11042-1016
Phone number: 516-321-7526