| Organization Name: | DAC MEDICAL PC |
| NPI Number: | 1982767752 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY J MOSOMILLO (MEDICAL DIRECTOR) |
| Mailing Address: | 426 Great East Neck Rd # C West Babylon |
| State: | NY US |
| Postal Code: | 117047626 |
| Phone Number: | 6316616611 |
| Fax Number: | 6316615504 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 08/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 185229 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |