Doctor Name: | DR. DOMINIC CURATOLA |
NPI Number: | 1104074681 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M |
License Number: | R60328 |
Business Practice Address: | 225 Massachusetts Ave Massapequa, NY - 117584220 |
Business Phone Number: | 5162442103 |
Business Fax Number: | |
Mailing Address: | 225 Massachusetts Ave, MASSAPEQUA |
State: | NY |
Postal Code: | 117584220 |
Phone Number: | 5162442103 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2008 |
NPI Last Update Date: | 07/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | R60328 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |